Supporting intersecting cultural needs of gender and age by increasing cultural safety and humility for Housing First initiatives

Fang, M.L., Canham, S.L., & Battersby, L. (2023). Supporting intersecting cultural needs of gender and age by increasing cultural safety and humility for Housing First initiatives. BMC Public Health, 23(1), 1005. doi:10.1186/s12889-023-15955-7

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Abstract

Background

To sufficiently house and support persons experiencing homelessness (PEH), deeper understandings of the cultural appropriateness and responsiveness of community resources and the service delivery system is essential. In the case of Metro Vancouver, Canada, the cultural appropriateness and responsiveness of Housing First as a service model for supporting PEH was explored.

Methods

Local service providers and stakeholders (n = 52) participated in three full day service-mapping workshops to identify Housing First supports for older adults, youth, and women experiencing homelessness, as part of a municipal-wide participatory and action-oriented study. Data were analyzed using a structured framework thematic analysis approach and cultural safety and humility lenses.  

Results

We generated three key themes: (i) insufficient built environments create challenges across gender and age, (ii) cultural safety and humility concerns at the intersection of gender and age, and (iii) implications for a culturally-responsive Housing First implementation.

Conclusions

Findings informed the development of a Culturally-Responsive Planning resource to support housing, health, and social service providers who are implementing Housing First initiatives.

Keywords:

Homelessness; housing first; cultural safety and humility; participatory research; service mapping.