Participant empowerment is a foundational goal of selforganisedhomeless care. We aim to understand how a selforganisedsetting contributes to participants' empowerment.The data we analysed (56 interviews, both open and semistructured)were generated in a longitudinal participatorycase study into Je Eigen Stek (Your own place, JES), a lowcostshelter for people experiencing homelessness in theNetherlands. JES participants experienced the freedom ofchoice and influence on their living environment. JES' fluidstructure allowed participants to adapt the program to theirdesires and needs, though participants were sometimes aspects to be either enabling or entrapping. We found someaspects (e.g., size, freedom of choice) could be entrapping orenabling, depending on personal factors. Our analysis revealedindividual freedom of choice, balancing freedom of choicewith support, offering opportunities for engagement andmaintaining fluidity in program management as core aspectsof how JES contributed to participants' empowerment.negative about having to live together. Most participantspreferred JES over regular shelters. Unlike empowermentliterature, participants mostly emphasised freedom of choiceover capacity development. JES offered opportunities forsocial and organisational engagement, through which participantsdeveloped roles, skills and self-image. However, alimited number of participants developed leadership rolesthrough self-management. Literature suggests setting
On the eve of the twenty-first century, it is a scandal that there are still people sleeping rough on our streets. This is not a situation we can continue to tolerate in a modern and civil society. These were the words of Tony Blair in his foreword to the policy document Rough Sleeping, The Government’s Strategy. In this the Government set out the ‘tough but achievable target of reducing rough sleeping in England by at least two thirds by 2002’. To achieve this target, the Rough Sleepers Unit (RSU) was established and a strategy was set out. In 1999, inspired by this energetic approach, the councilwoman for homelessness in Amsterdam, Guusje ter Horst, stated that from 2000 no-one in Amsterdam would ever again have to sleep rough against their will. In this article we discuss some of the implications of the 2000 target in Central London, focusing on the balance in the British government’s approach between options and sanctions. We argue that this balance could be improved if more attention was paid to the views of rough sleepers themselves. On this point, Britain could learn something from the Netherlands. But the learning process is two-way: the RSU has something to offer to the Netherlands, in terms of the cohesive approach for which both countries are aiming, but which is better developed in Britain.
BACKGROUND: People experiencing homelessness often encounter progressive incurable somatic diseases in combination with psychiatric and psychosocial problems, and many need palliative care at the end of their lives. Little is known about how palliative care for this group can be started in good time and provided optimally. The objective of this paper is to give insight into the extent people experiencing homelessness have access to good palliative care.
