La salute delle persone senza dimora:una sfida per l’integrazione sociosanitaria

Journal title SALUTE E SOCIETÀ
Author/s Anna Zenarolla
Publishing Year 2018 Issue 2018/2
Language Italian Pages 15 P. 151-165 File size 90 KB
DOI 10.3280/SES2018-002011
DOI is like a bar code for intellectual property: to have more infomation click here

Below, you can see the article first page

If you want to buy this article in PDF format, you can do it, following the instructions to buy download credits

Article preview

FrancoAngeli is member of Publishers International Linking Association, Inc (PILA), a not-for-profit association which run the CrossRef service enabling links to and from online scholarly content.

Health is a serius and complex issue in the context of homelessness. Nevertheless, in Italy it receives little attention and there are few and fragmentary available data about health conditions of homeless people. The article aims to highlight the relevance of health problems in homeless people and the importance of addressing them with an integrated approach oriented to the recovery and the empowerment of the homeless, as proposed by the innovative model of Housing First.

Keywords: Health; homelessness; recovery; empowerment; integration; housing first.

  1. Anthony W. (1993). Recovery from mental illness: the guiding vision of the mental health service system in the 1990s. Psychosocial Rehabilitation Journal, 16(4): 11-23.
  2. Barnao C. (2004). Sopravvivere in strada. Elementi di sociologia della persona senza dimora. Milano: FrancoAngeli.
  3. Barrio Bezunartea P. (2014). Social Workers: Challenges and Contributions to Housing First Support Programmes. Homeless in Europe, pp. 14-15.
  4. Benjaminsen L. (2014). “Mindshift” and Social Work Methods in a Large-Scale Housing First Programme in Denmark. Homeless in Europe, pp. 12-13.
  5. Braga M., Corno L. (2011). Being Homeless: Evidence from Italy. Giornale degli Economisti e Annali di Economia, 70(3): 33-73.
  6. Busch-Geertsema V. (2005). Does Re-housing Lead to Reintegration? Follow-up Studies of Re-housed Homeless People. Innovation: The European Journal of Social Science Research, 18(2): 205-226. DOI: 10.1080/1351161050009654
  7. Canavan R. et al. (2012). Service provision and barriers to care for homeless peo-ple with mental health problems across 14 European capital cities. BMC Health Services Research, 12(1): 222. DOI: 10.1186/1472-6963-12-22
  8. Caton C.L.M., Wilkins C., Anderson J. (2007). People who Experience Long Term Homelessness: Characteristics and Interventions. Presentation at the National Symposium on Homelessness Research. -- Disponibile al sito:
  9. Consoli M., Pennisi C., Zenarolla A. (2016). Experimenting Housing First in Italy: Competences and Challenges for Social Work. Paper presented at the 11th Eu-ropean Research Conference on Homelessness, Copenhagen, 23 september 2016.
  10. Cortese C., a cura di (2016). Scenari e pratiche dell’Housing First. Milano: Fran-coAngeli.
  11. Dupuis A., Thorns D.C. (1998). Home, home ownership, and the search for onto-logical security. The Sociological Review, 46(1): 24-47.
  12. Edens E.L, Mares A.S., Tsai J., Rosenheck R.A. (2011). Does Active Substance Use at Housing Entry Impair Outcomes in Supported Housing for Chronically Homeless Persons? Psychiatric Services, 62(2): 171-178.
  13. Fazel S., Geddes J.R., Kushel M. (2014). The health of homeless people in high-income countries: descriptive epidemiology, health consequences, and clinical and policy recommendations. The Lancet, 384(9953): 1529-40.
  14. Fazel S., Khosla V., Doll H., Geddes J. (2008). The Prevalence of Mental Disorders among the homeless in Western Countries: systematic review and meta-regression analysis. PloS Med, 5(12): e225, 1670-1681.
  15. Gaboardi M., Santinello M. (2016). Empowerment e Capabilities approach: chiavi di lettura dei principi di Housing First. In: Cortese C., a cura di, Scenari e pra-tiche dell’Housing First. Milano: FrancoAngeli, pp. 150-164.
  16. Gilmer T., Stefancic A., Sklar M., Tsemberis S. (2013). Development and valida-tion of a Housing First Fidelity survey. Psychiatric Services, 64(9): 911-914.
  17. Gnocchi R., a cura di (2009). Homelessness e dialogo interdisciplinare. Roma: Carocci.
  18. Greenwood R.M., Schaefer-McDaniel N.J., Winkel G., Tsemberis S. (2005). De-creasing Psychiatric Symptoms by Increasing Choice in Services for Adults with Histories of Homelessness. American Journal of Community Psychology, 36 (3/4): 223-237.
  19. Gui L., a cura di (1995). L’utente che non c’è. Milano: FrancoAngeli.
  20. Homeless Link (2014). The unhealthy state of homelessness: Health audit results. Disponibile al sito:
  21. Johnson G., Wylie N. (2010). This is not living: Chronic Homelessness in Mel-bourne. Melbourne: RMIT University and Sacred Heart Mission.
  22. Lavanco G., Santinello M. (2009). I senza fissa dimora. Analisi psicologica del fenomeno e ipotesi di intervento. Milano: FrancoAngeli.
  23. Levorato S., Bocci G., Troiano G., Messina G., Nante N. (2017). Health status of homeless persons: a pilot study in the Padua municipal dorm. Ann Ig., 29(1): 54-62.
  24. Maone A., D’Avanzo B., a cura di (2015). Recovery. Nuovi paradigmi per la sa-lute mentale. Milano: Cortina.
  25. Travis P. et al. (2010). The Unmet Health Care Needs of Homeless Adults: A Na-tional Study. American Journal of Public Health, 100(7): 1326-1333.
  26. McCranie A. (2010). Recovery in Mental Illness: the Roots, Meanings, and Im-plementations of a “New” Services Movement. In: Pilgrim D., Rogers A., Pes-cosolido B., eds., The Sage Handbook of Mental Health and Illness. Los Ange-les, London, New Delhi, Singapore, Washington, SAGE Publications Ltd, pp. 471-489.
  27. Molinari P., Zenarolla A. (2016a). L’integrazione tra il sistema sociale e quello sa-nitario è un nodo strategico per l’approccio Housing First. In: Cortese C., a cura di, Scenari e pratiche dell’Housing First. Milano: FrancoAngeli, pp. 94-106.
  28. Molinari P., Zenarolla A. (2016b). Valutazione Network Housing First Italia 2015. Report di monitoraggio. FioP.S.D.
  29. Molinari P., Zenarolla A. (2016c). Valutazione target Network Housing First Italia 2015. Report di monitoraggio. FioP.S.D.
  30. Morozzo della Rocca P. (2009). La giurisprudenza e l’homelessness. In: Gnocchi R., a cura di, Homelessness e dialogo interdisciplinare. Roma: Carocci, pp. 97-129.
  31. Morrone A., Latini O. (2009). Le persone senza dimora: salute e povertà. In: Gnocchi R., a cura di, Homelessness e dialogo interdisciplinare. Roma: Ca-rocci, pp. 131-146.
  32. Nelson G., Aubry T., LaFrance A. (2007). A Review of the Literature on the Effec-tiveness of Housing and Support, Assertive Community Treatment, and Inten-sive Case Management Interventions for Persons with Mental Illness who have Been Homeless. American Journal of Orthopsychiatry, 77(3): 350-361. DOI: 10.1037/0002-9432.77.3.35
  33. OECD (2015). Integrating Social Services for Vulnerable Groups: Bridging Sec-tors for Better Service Delivery. Paris: OECD Publishing.
  34. Osservatori diocesani delle povertà e delle risorse delle Caritas diocesane di Con-cordia-Pordenone, Gorizia, Trieste, Udine (2014). Persone in grave marginali-tà. L’intensità del fenomeno, i dati, le riflessioni. Udine.
  35. Padgett D.K. (2016). Consumer Choice Meets Street Level Bureaucracy: Social Work in the Housing First Era. Paper presented at the 11th European Research Conference on Homelessness, Copenhagen, 23 september 2016.
  36. Padgett D.K., Henwood B.F., Tsemberis S.J. (2015). Housing First: Ending Home-lessness, Transforming Systems, and Changing Lives. Oxford: Oxford Universi-ty Press.
  37. Padgett D.K., Gulcur L., Tsemberis S. (2006). Housing First Services for People Who Are Homeless With Co-Occurring Serious Mental Illness and Substance Abuse. Social Work Practice, 16(1): 74-83. DOI: 10.1177/104973150528259
  38. Pearson C., Montgomery A.E., Locke G. (2009). Housing Stability among Home-less Individuals with Serious Mental Illness Participating in Housing First Pro-grams. Journal of Community Psychology, 37(3): 404-417.
  39. Pleace N. (2008). Effective services for substance misuse and homelessness in Scotland: evidence from an international review. Edinburgh: Scottish Govern-ment Social Research.
  40. Pleace N., Quilgars D. (2013). Improving health and social integration through housing first. A review. Centre for Housing Policy, European Observatory on Homelessness.
  41. Povlsen B., Egholm K. (2016). How to work with housing supports methods in a Housing First Context. Paper presented at the 11th European Research Confer-ence on Homelessness, Copenhagen, 23 september 2016.
  42. Russell A. (2010). Housing First and Harm Reduction: Effective Models For Sub-stance abuse Treatment with Individuals who are Homeless. Praxis, 10: 63-69.
  43. Santinello M., Gaboardi M., Lanzi M. (2016). Salute & integrazione sociale. Paper presentato alla Conferenza internazionale Housing First, Torino, 6 dicembre 2016.
  44. Schein E.H. (1999). Culture d’impresa. Milano: Raffaello Cortina.
  45. Tsai J., Mares A.S., Rosenheck R.A. (2012). Does Housing Chronically Homeless Adults Lead to Social Integration? Psychiatric Services, 63(5): 427-434.
  46. Tsemberis S., Stefanicic A. (2007). Housing First for Long Term Shelter Dwellers with Psychiatric Disability in a Subutban Country: Four-Year Study of Housing Access and Retention. Journal of Primary Prevention, 28(3-4): 265-279.
  47. Tsemberis S., Gulcur L., Nakae M. (2004). Housing First, Consumer Choice and Harm Reduction for Homeless Individuals with Dual Diagnosis. American Journal of Community Psychology, 32: 305-317.
  48. Wright N.M., Tompins C.N.E. (2006). How can health services affectively meet the health needs of homeless people? British Journal of General Practice, 56(525): 286-293.
  49. Zuccalà G., Santinello M., Ferrari S. (2016). L’idea di casa dei senza dimora di un programma Housing First. Psicologia di comunità, 2: 9-21. DOI: 10.3280/PSC2016-00200

Anna Zenarolla, La salute delle persone senza dimora:una sfida per l’integrazione sociosanitaria in "SALUTE E SOCIETÀ" 2/2018, pp 151-165, DOI: 10.3280/SES2018-002011