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Homelessness in Durham, Durham County, North Carolina

An Action-Oriented Community Diagnosis Including Secondary Data Analysis and Qualitative Data Collection

Team Members: Rachel Davis, Mary DeCoster, Suzanne Donoghue, Clayne Felix, Grace Han, Lee Hartsell, Jenny Koenig, Hang Nguyen, Elisa Rossetti, and Kate Shirah
Preceptors: Janna Harton, Durham Health Partners and Lloyd Schmeidler, St. Philips Community Kitchen
Instructors: Geni Eng, Dr.P.H. and Sara Ackerman, M.P.H.

Completed during 2000-2001 in partial fulfillment of requirements for HBHE 240 and 241

Department of Health Behavior and Health Education
School of Public Health
University of North Carolina at Chapel Hill

TABLE OF CONTENTS

I. INTRODUCTION TO HOMELESSNESS
white spaceDefinitions of Homelessness
white spaceHomelessness in Durham

II. SECTION ONE: OUTSIDER PERSPECTIVES
white spaceSecondary Data Analysis
white spaceHistory
white spaceEconomy
white spaceGovernment
white spaceHousing
white spaceHealth Services
white spaceRehabilitation Services
white spaceEmergency Services
white spaceAnalysis of Service Provider Interviews
white spaceProviders' Definitions of Homelessness
white spaceDurham's History with Homelessness
white spaceServices Provided
white spaceBarriers to Access/Hard to Reach Groups
white spaceInteractions Between Cultural/Ethnic Groups
white spaceStrengths
white spaceNeeds
white spaceCommunity Networks and Involvement
white spacePossible Solutions
white spacePerceived Causes of Homelessness
white spaceChanging Economy
white spaceLack of Affordable Housing
white spaceLack of Job Training Programs
white spaceAddiction and Substance Abuse
white spaceMental Illness
white spaceLack of Voice
white spaceViolence/Trauma
white spaceInterpersonal Factors
white spacePast and Present Programs
white spaceShelter and Food
white spaceHealth Care
white spaceJob Training
white spaceHousing
white spaceThe Impact of Policies on Homelessness
white spaceDiscussion

III. SECTION TWO: INSIDER PERSPECTIVES
white spaceAnalysis of Community Member Interviews
white spaceIdentities Related to Homelessness
white spaceExtent of Homelessness
white spaceDifferent Groups Among the Homeless
white spaceUse of Basic Services
white spaceSocial Networks, Friendships, and Family Ties
white spaceEmployment and Employability
white spaceTransportation
white spaceHousing
white spaceSubstance Abuse and Mental Health
white spaceRacism and Race Relations
white spaceHealth Concerns
white spaceCauses of Homelessness
white spacePossible Solutions
white spaceDiscussion
white spaceComparing Insider and Outsider Perspectives
white spaceHomelessness and Identity
white spaceCommunity Member Groups & Service Utilization
white spaceAlone: Consequences for Information Support
white spaceOther Similarities in Identified Needs/Causes of Homelessness
white spaceShared Strengths
white spaceMethods
white spaceIRB Application and Approval
white spaceCommunity Contact
white spaceSecondary Data Collection
white spaceQualitative Data Collection
white spaceOutsider View
white spaceInsider View
white spaceQualitative Data Analysis
white spaceMethods Discussion
white spaceCommunity Forum Report
white spaceRecommendations
white spaceReferences

Appendicies

Appendix A: Interview & Focus Group Guide
Appendix B: List of Interviews
Appendix C: Forum Materials
Appendix D: Data Analysis
Appendix E: List of Resources
Appendix F: IRB Application & Approval