Tagged / Marginalised voices

Systematic Review: Exploring use of mobile health technology for people who are homeless

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Dr Heaslip, Dr Green, Stephen Richer (Nursing Science) and Dr Huseyin Dogan (SciTech) with Dr Simkhada (Visiting Faculty) have recently published a paper Use of Technology to Promote Health and Wellbeing of People Who Are Homeless: A Systematic Review examining current published literature around the subjects of homelessness, mobile technology usage and its impact on health.

 

The review noted that literature indicated that whilst a large percentage of people who are homeless owned a mobile phone or smart phone (around 80%). There were many barriers to the use of mobile technology when you are homeless and these include: physical damage to phones, theft, inability to charge phones, lack of data and the limited availability of Wi-Fi connections. The health impacts of mobile usage are largely associated with ‘social connectedness’. This not only included staying in touch with family and friends but also maintaining a connection to popular culture, social media, news, music and films. Current research indicated that this sense of social connection was considered of high importance by individuals who are homeless. As well as a social connection, people who are homeless found technology as having other potential health benefits, such as signposting to available support,  reminders for appointments, prompts for taking medication, health information and online health advice.

Going forward, we are currently analysing data from an extensive 100 participant, 29 item questionnaire that has been carried out with people who are homeless locally as well as analysing  qualitative data from focus groups and one to one interview (n=16 participants). This arm of our research aims to assess the availability, accessibility and utility of services for people who are homeless in the local area as well as further exploring the opportunities and challenges in utilising  mobile phones to access health and social care services. Results will be published in due course and detailed in our next blog.

Final Safeguarding Adults ESRC seminar: Fusion in practice

hate crime

The final seminar in our ESRC seminar series  concerning the development of legal literacy and adult safeguarding was held at the Friends’ Meeting House in London on the 11thOctober bringing together three years exploration of meanings, interpretation and learning from the implementation of the Care Act 2014. The series brought together expertise in adult safeguarding from the universities of Bournemouth, Bedford, East Anglia, Chester and led by Keele University, alongside practitioner expertise from 39 Essex Chambers and PASA-UK (Practitioner Alliance for Safeguarding Adults).

The morning session was chaired by Prof Jonathan Parker, who introduced the retired high court judge Sir Mark Hedley to begin the day by examining professional power and responsibility and the complexities of decision-specific capacity and the need for care, brought to life through a range of often heart-wrenching cases. Prof Paul Kingston (Chester) and Luke Joannou of the Royal British Legion then considered the topical area of safeguarding in the charitable sector that highlighted contemporary demands for good governance brought to the fore by recent cases involving Oxfam and Save the Children. The final session of the morning was presented by Kenny Gibson, the recently appointed head of safeguarding for NHS England. Kenny, only 120 days in post, articulated some of the changes NHS England was making to roll out understanding and improve practice in safeguarding across the workforce.

Prof Michael Preston-Shoot (Bedford) chaired the afternoon session. The Rt Hon Norman Lamb MP, the former minister who ushered through the Care Act 2014 began the afternoon, reflecting on transformative approaches to care and Winterbourne View. He was followed by Prof Jill Manthorpe (King’s College, London) who presented aspects of her research group’s work on whether or not powers of entry would be beneficial for practitioners working in adult safeguarding; a fraught and contested area of practice that raises the importance of debate in this area. Bridget Penhale (UEA) then took us back into the history of identifying elder abuse – a very recent history – showing the political twists and turns, and the ways this has added to calls for a UN Convention of the Human Rights of Older People. The afternoon was completed by Alex Ruck Keane (39 Essex Chambers) who took us back to the beginnings of the seminar programme and the elusive processes in developing adequate definitions to negotiate this complex practice milieu.

As the series drew to a close we have turned attention to sustainability, dissemination and taking forwards the learning. One of the central elements of the three years has been to raise awareness and knowledge amongst the next generation – public, professional and academic – of adult safeguarding and to identify and challenge blurred lines within society. One way of doing so has been to ensure spaces are available for students, at all levels of study. As an example of our BU fusion approach, promoting the interface of research, education and practice, final year Sociology & Criminology student, Andreas Bubier-Johnstone joined the seminar, his interests developing through the degree programme. His reflections are useful:

As a third year Sociology & Criminology student wanting to pursue a future career in Adult Safeguarding I found the seminar overall a tremendous help. On arrival I was greeted by many fantastic minds, and felt instantly welcome. All of the speakers provided me with new and, more importantly, useful information, whether it was from textbook legalities and standard protocols, to their own personal experiences; it was both fascinating, and stimulating. I found the overall diversity of the speakers, something of great interest. Being able to gauge information from different people, and perspectives was a great touch in showing different fields and how they function.

What I took away from the day simply was clarity. I knew after the seminar was over, that I really did want to pursue a career in adult safeguarding. It gave me a new founded drive, speaking to people who are developed in the field really has given me a boost, and hunger to achieve my future career goals. The people who attended the seminar were all very helpful, and provided me with information on how to further achieve my goals for the future.

Jonathan Parker and Andreas Bubier-Johnstone