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This study uses mixed methods and theory from cognitive anthropology to examine the cultural models of domestic violence among domestic violence agency workers, welfare workers, nurses, and a general population comparison group. Data collection and analysis uses quantitative and qualitative techniques, and the findings are integrated for interpretation. Findings reveal consensus among service providers on how controllable domestic violence factors are and whether they are most characteristic of victims or perpetrators, but diversity with regard to their understandings of the importance of the factors suggesting that occupational category alone is inadequate in predicting service providers' beliefs and subsequent delivery of services. The implications of the findings extend into the areas of domestic violence service delivery, cognitive anthropology, and mixed methods research. (Contains 4 notes, 4 tables, and 2 figures.)

Aims: This study examined the nature and characteristics of Black women's interactions with medical providers during childbirth when accompanied by a perinatal support professional (PSP; similar to a doula). Design: The design was qualitative, and a phenomenological approach was employed to examine the meaning of women's experiences. Methods: We conducted in‐depth interviews with 25 Black women enrolled in a perinatal support program in Cleveland, Ohio, in late 2017 and early 2018, exploring their interactions with medical providers, the meaning of their experiences, and the roles their PSPs played. Results: Clients broadly categorized experiences as positive or negative. When medical providers respected them, their birth plans and/or collaborated with PSPs, women reported more positive experiences. They associated negative experiences with providers having their own timelines and agendas, and women perceiving their needs were unheard and/or disrespected. Conclusion: The findings emphasize the need for medical providers to be patient‐centred, set aside assumptions, treat their patients as experts, value women's knowledge and voice, and treat patients and their supports as part of the team. Impact: Findings support the importance of having a knowledgeable but non‐medical support person present during birth. We discuss implications for how empowerment may be a tool to achieving better birth outcomes. [ABSTRACT FROM AUTHOR]

The purpose of this study was to conduct an exploratory qualitative study of the impact of foreclosure on health. Twenty-nine interviews were conducted with people who had children under the age of 18 years at the time of the foreclosure. Interviews explored perspectives on the foreclosure experience, including factors that led to the foreclosure, the meaning(s) the foreclosure has had for them, and the health care impact. Thematic analyses identified themes underlying families' descriptions of their experiences. Participant families described the stress of losing a home and how that had contributed to a number of psychological and physiological ailments. Psychological effects included high levels of perceived stress, anxiety, grief, and a sense of shame and failure, while physiological effects were often described as either stress-induced or existing issues worsened by stress. These findings are discussed with regard to their implications for improving services and policies offered to families. [ABSTRACT FROM AUTHOR]

Abstract The Housing First approach has shown promise in helping to combat homelessness among chronically homeless single males, but less is known about the approach when it is applied to families and young adults. This study examined data from a pilot Housing First program that served 78 families (n = 63) and single young adults (n = 15) with homeless histories and mental health and/or substance use disorders to explore program functioning and client service use patterns. Using an exploratory sequential mixed methods research design (Creswell & Plano Clark, 2011), qualitative interview data were conducted first, and quantitative administrative data and qualitative progress note data were then analyzed to explore ideas presented in the qualitative interviews. The in-depth qualitative interviews with staff (N = 9) collected information on program functioning and client successes and challenges. Quantitative data were collected on all 78 clients and sources included administrative data about return to homelessness, child welfare involvement, receipt of public assistance, and interactions with case managers. Qualitative exploration of a sample of client progress notes (N = 32) then followed. Integrating the findings, interviews suggested that clients faced many challenges, especially those related to having little to no income, multiple children, and stigmas, but that "success" would be indicated by needing their case managers less over time. We found that 89% remained enrolled in the program, 21% returned to shelter at some point, child welfare involvement decreased, and public assistance receipt increased after program entry. Content analysis of case management notes indicated that case managers worked with clients to develop independent living skills to improve clients' chances for becoming sufficient over the long-term. Highlights • 79% of families and young adults participating in a Housing First pilot avoided re-entering shelter • Program participation was significantly associated with increased SNAP enrollment and decreased child welfare involvement • Case management topical content was significantly more focused on housing for families than young adults • The number of case management contacts and time spent within them decreased over time in the program • Self-sufficiency was hampered by crises but supported by case management focused on independent living skills [ABSTRACT FROM AUTHOR]