Skip to main content
Log in

Moving Ahead: Evaluation of a Work-Skills Training Program for Homeless Adults

  • Original Paper
  • Published:
Community Mental Health Journal Aims and scope Submit manuscript

Abstract

This study examines the impact of a work-skills program grounded in an integrated services approach on both employment and related life domains among homeless individuals. Six hundred thirty-eight participants in a 14-week work-skills program at a large day center in New England completed assessments at intake between 1999 and 2007; a subsample of 333 also completed assessments at graduation from the program; a smaller subsample of 55 participants were re-assessed 6 months after graduation. These assessments measured work and related life skills, employment, housing status, general health status, substance use, self-esteem and self-efficacy, and legal involvement. Results revealed improvement in all types of work and related life skills, employment and income, and multiple other life domains from baseline to graduation and follow-up. Exploratory analyses suggested that improvements in work and related life skills were associated with improvement in self-esteem and self-efficacy, and that these improvements predicted stable housing situations at follow-up. Overall, these findings indicate that, for individuals struggling with the challenges of homelessness, completion of a work-skills program has a positive impact on skills and employment, and on a diverse set of life domains.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2

Similar content being viewed by others

References

  • Adkins, W. R. (1984). Life skills education: a video-based counseling/learning delivery system. In D. Larson (Ed.), Psychological skills: models for giving psychology away (pp. 44–68). Monterey, CA: Brooks/Cole.

    Google Scholar 

  • Calloway, M. O., & Morrissey, J. P. (1998). Overcoming service barriers for homeless persons with serious psychiatric disorders. Psychiatric Services, 49(12), 1568–1572.

    PubMed  CAS  Google Scholar 

  • Daiski, I. (2007). Perspectives of homeless people on their health and health needs priorities. Journal of Advanced Nursing, 58(3), 273–281.

    Article  PubMed  Google Scholar 

  • Fischer, P. J. (1989). Estimating the prevalence of alcohol, drug and mental health problems in the contemporary homeless population: A review of the literature. Contemporary Drug Problems, 16, 333–390.

    Google Scholar 

  • Fischer, P. J., & Breakey, W. R. (1991). The epidemiology of alcohol, drug, and mental disorders among homeless persons. American Psychologist, 46(11), 115–1128.

    Article  Google Scholar 

  • Goerig, P., Tolomiczenko, G., Sheldon, T., Boydell, K., & Wasylenki, D. (2002). Characteristics of person who are homeless for the first time. Psychiatric Services, 53(11), 1472–1474.

    Article  Google Scholar 

  • Government Accounting Office. (2000). Community health centers: Adapting to changing health care environment key to continued success (No. GAO/HEHS-00-39). Washington, DC.

  • Humphreys, K., Mankowski, E. S., Moos, R. H., & Finney, J. W. (1999). Do enhanced friendship networks and active coping mediate the effect of self-help groups on substance abuse? Annals of Behavioral Medicine, 21(1), 54–60.

    Article  PubMed  CAS  Google Scholar 

  • Kaskutas, L. A., Bond, J., & Humphreys, K. (2002). Social networks as mediators of the effect of alcoholics anonymous. Addiction, 97(7), 891–900.

    Article  PubMed  Google Scholar 

  • McCarty, D., Argeriou, M., Huebner, R. B., & Lubran, B. (1991). Alcoholism, drug abuse, and the homeless. American Psychologist, 46(11), 1139–1148.

    Article  PubMed  CAS  Google Scholar 

  • Mensinger, J. L., Lynch, K. G., Tenhave, T. R., & McKay, J. R. (2007). Mediators of telephone-based continuing care for alcohol and cocaine dependence. Journal of Consulting and Clinical Psychology, 75(5), 775–784.

    Article  PubMed  Google Scholar 

  • Moher, D., Schulz, K. F., & Altman, D. G. (2001). The CONSORT statement: revised recommendations for improving the quality of reports of parallel-group randomised trials. Lancet, 357(9263), 1191–1194.

    Article  PubMed  CAS  Google Scholar 

  • Morrissey, J. P., Calloway, M. O., Thakur, N., Cocozza, J., Steadman, H. J., & Dennis, D. (2002). Integration of service systems for homeless persons with serious mental illness through the ACCESS program. Psychiatric Services, 53(8), 949–957.

    Article  PubMed  Google Scholar 

  • Pearlin, L., & Schooler, C. (1978). The structure of coping. Journal of Health and Social Behavior, 19, 2–21.

    Article  PubMed  CAS  Google Scholar 

  • Reblin, M., & Uchino, B. N. (2008). Social and emotional support and its implication for health. Current Opinion in Psychiatry, 21(2), 201–205.

    Article  PubMed  Google Scholar 

  • Robertson, M. J. (1991). Homeless women with children: The role of alcohol and other drug abuse. American Psychologist, 46(11), 1198–1204.

    Article  PubMed  CAS  Google Scholar 

  • Rosenberg, M. (1965). Society and the adolescent self-image. Princeton, NJ: Princeton University Press.

    Google Scholar 

  • Shaheen, G., & Rio, J. (2007). Recognizing work as a priority in preventing or ending homelessness. The Journal of Primary Prevention, 28(3–4), 341–358.

    Article  PubMed  Google Scholar 

  • Simpson, D. D., & Knight, K. (1998). TCU data collection forms for correctional residential treatment. Forth Worth, TX: Texas Christian University, Institute of Behavioral Research.

    Google Scholar 

  • Substance Abuse and Mental Health Services Administration. (2003). Work as a priority: A resource for employing people who have a serious mental illness and who are homeless (No. DHHS Pub. No. SMA 03–3834). Rockville, MD: Center for Mental Health Services, Substance Abuse and Mental Health Services Administration.

  • Williams, C. T., & Latkin, C. A. (2007). Neighborhood socioeconomic status, personal network attributes, and use of heroin and cocaine. American Journal of Preventive Medicine, 32(6 Suppl 1), S203–S210.

    Article  PubMed  Google Scholar 

Download references

Acknowledgments

The authors extend special thanks to Fred Smith and the staff of St. Francis House for their collaboration on this project. We thank the guests of St. Francis House who are the source of information for this study. This project was supported by funding from St. Francis House. The Division on Addiction at Cambridge Health Alliance also receives funding support from the following resources: bwin.party Digital Entertainment; National Institutes of Health; the state of Nevada; the Century Council; and Massachusetts Council on Compulsive Gambling.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Sarah E. Nelson.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Nelson, S.E., Gray, H.M., Maurice, I.R. et al. Moving Ahead: Evaluation of a Work-Skills Training Program for Homeless Adults. Community Ment Health J 48, 711–722 (2012). https://doi.org/10.1007/s10597-012-9490-5

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10597-012-9490-5

Keywords

Navigation