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Face aux phénomènes d’engorgement des urgences, les politiques de santé s’orientent aujourd’hui vers une restriction de l’accueil centré sur les pathologies graves. Cependant, pour de nombreuses personnes sans-abri, les urgences de l’hôpital public continuent de représenter une solution pour des besoins de soins ordinaires, d’assistance, voire d’hébergement. L’exemple du patient sans-abri pousse alors à son paroxysme les tensions qui se manifestent dans ces services, tiraillés entre « l’urgence médicale » et « l’urgence sociale ». Au moyen d’une enquête par immersion, cet ouvrage explore les formes de mobilisation des personnels des urgences face à la grande précarité des patients sans-abri. Comment gérer les priorités ? Comment assurer à la fois le soin, l’assistance, le tri des malades, la gestion des flux et la régulation des dépenses hospitalières ? À cet égard, la situation étudiée apparaît emblématique d’un ensemble plus vaste d’exigences en tension, voire en contradiction auquel l’hôpital public est aujourd’hui confronté.

Emergency Medical Services --- Poverty --- Homeless Persons --- Homeless persons --- Hospitals --- Medical personnel and patient --- Sans-abri --- Hôpitaux --- Relations personnel médical-patient. --- Urgence sociale. --- Sans-abri. --- Pauvreté. --- Service hospitalier d'urgences. --- Medical care --- Emergency services --- Soins médicaux. --- Services des urgences --- Aspect social. --- Hôpitaux --- Relations personnel médical-patient. --- Medical care. --- Sociology --- sociologie --- médecine --- santé

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In this groundbreaking work, urban anthropologist Rae Bridgman, in careful and intimate detail, explores the perspectives of the women who work and live at Savard's, a unique shelter for homeless women. Bridgman uses the design and development of Savard's - a housing model developed by women for women - as an opportunity to document the project's original vision and what happened once it opened. There are few rules at Savard's. Women may come and go as they wish, and referrals to other services are made only when a woman has indicated interest in taking action on her own behalf. It is a model that aims to provide a safe haven for the chronically homeless. The study traces the evolution of this type of shelter, providing qualitative research and useful analysis for academics, policy-makers, service providers, and activists. Based on many hours of participant observation as well as interviews and staff records, Safe Haven presents a distinct picture of the chronically homeless and those on the frontlines of this lifesaving service.

Homeless women --- Women's shelters --- Bag ladies --- Shopping bag ladies --- Homeless persons --- Women --- Battered women's shelters --- Crisis housing, Women's --- Emergency housing for women --- Refuges, Women's --- Shelters, Women's --- Women's crisis housing --- Women's emergency housing --- Women's refuges --- Emergency housing --- Housing --- Services for --- Savard's (Toronto, Ont.) --- Femmes sans-abri --- Maisons d'hébergement pour femmes --- Logement --- Ontario --- York

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Belgique, France, Québec. Trois « pays » francophones, trois façons de nommer une figure de la pauvreté urbaine : sans-abri, sans domicile fixe, itinérant. Bien qu’immémoriale, cette figure a été perçue de façon nouvelle par nos contemporains au cours des années 1980. Parce que les catégories sont des constructions sociales qui tendent à s’institutionnaliser, elles méritent toute l’attention des chercheurs. Les figures de la pauvreté sont révélatrices d’un (dés)ordre social. Elles mettent en rapport les situations vécues et la « réaction sociale » à leur égard. C’est ce qui a poussé les auteurs de ce livre à proposer une relecture du phénomène, travail comparatif et de confrontation sur l’interdépendance entre contexte national et actions entreprises en direction des personnes. Ce travail est né d’une interrogation portée sur la place et l’utilité de la recherche face à l’installation et à la banalisation du phénomène du sans-abrisme dans les pays riches industrialisés : comment se construit un problème social dans différents contextes ? Comment les chercheurs délimitent-ils leur objet au regard du problème social considéré ? Quelle place occupe la recherche ? Comment est-elle mobilisée ? Comment se situe-t-elle par rapport à l’action politique ? Ces questions permettent de distinguer trois étapes essentielles, les trois parties de cet ouvrage. Tout d’abord, on décrit les éléments essentiels de la genèse de ce qui est apparu comme un problème social dans chacun des pays. Ensuite, on voit comment, face à ce problème social devenu problème public, la recherche s’est développée et organisée différemment, tant au niveau des institutions que des jeux d’acteurs et de leurs effets. Enfin, les parcours de recherche, dans leur grande diversité, permettent de reformuler les enjeux de connaissances, indissociables des situations qui les ont fait naître et des réactions sociales qui les ont accompagnés tout au long de ces deux dernières décennies.

Government policy. --- Homeless persons. --- Social Welfare & Social Work --- Social Sciences --- Social Welfare & Social Work - General --- Homeless adults --- Homeless people --- Street people (Homeless persons) --- Persons --- Homelessness --- Homelessness - Government policy --- sans-abri --- pauvreté --- ville --- sans domicile fixe (SDF) --- logement --- urgence sociale --- exclusion sociale --- itinérant --- dérive urbaine --- itinérance --- #SBIB:39A6 --- #SBIB:316.8H15 --- #SBIB:316.8H16 --- Etniciteit / Migratiebeleid en -problemen --- Welzijns- en sociale problemen: sociale ongelijkheid en armoede --- Welzijns- en sociale problemen: migranten, rassenrelaties

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"Brings together leading and emerging researchers to advance understanding of the complex relationships between homelessness and health. Covering a wide range of topics from youth homelessness to end-of-life care, contributors outline policy and practice recommendations to respond to this public health crisis."--back cover. Homelessness & Health in Canada explores, for the first time, the social, structural, and environmental factors that shape the health of homeless persons in Canada. Covering a wide range of topics from youth homelessness to end-of-life care, the authors strive to outline policy and practice recommendations to respond to the ongoing public health crisis. This book is divided into three distinct but complimentary sections. In the first section, contributors explore how homelessness affects the health of particular homeless populations, focusing on the experiences of homeless youth, immigrants, refugees and people of indigenous ancestry. In the second section, contributors investigate how housing and public health policy as well as programmatic responses can address various health challenges, including severe mental illness and HIV/AIDS. In the final section, contributors highlight innovative Canadian interventions that have shown great promise in the field. Together, they form a comprehensive survey of an all too important topic and serve as a blueprint for action.

Homelessness. --- Lodging-houses. --- Public housing. --- Delivery of Health Care --- Health Status --- Persons --- Residence Characteristics --- Environment, Controlled --- Sociology --- Demography --- Health Care Quality, Access, and Evaluation --- Named Groups --- Environment --- Social Sciences --- Patient Care Management --- Health Care --- Anthropology, Education, Sociology and Social Phenomena --- Environment and Public Health --- Epidemiologic Measurements --- Population Characteristics --- Health Services Administration --- Public Health --- Homeless Persons --- Housing --- Health Status Disparities --- Health Services Accessibility --- Social Welfare --- Health & Biological Sciences --- Social Medicine --- Homeless persons --- Homelessness --- Homeless Persons. --- Health Status Disparities. --- Health Services Accessibility. --- Social Welfare. --- Housing. --- Sans-abri --- Itinérance --- Health and hygiene --- Medical care --- Government policy --- Social conditions. --- Santé et hygiène --- Soins médicaux --- Politique gouvernementale --- Condition sociales. --- Canada. --- Family-Patient Lodging --- Patient-Family Lodging --- Family Patient Lodging --- Family-Patient Lodgings --- Lodging, Family-Patient --- Lodging, Patient-Family --- Lodgings, Family-Patient --- Lodgings, Patient-Family --- Patient Family Lodging --- Patient-Family Lodgings --- Community Services --- Services, Community --- Community Service --- Service, Community --- Welfare, Social --- Accessibility, Health Services --- Contraceptive Availability --- Health Services Geographic Accessibility --- Program Accessibility --- Access to Health Care --- Accessibility of Health Services --- Availability of Health Services --- Accessibility, Program --- Availability, Contraceptive --- Health Services Availability --- Health Status Disparity --- Disparities, Health Status --- Disparity, Health Status --- Status Disparity, Health --- Street People --- Homeless Person --- People, Street --- Person, Homeless --- Persons, Homeless --- Homeless adults --- Homeless people --- Street people (Homeless persons) --- Urban Renewal --- Public Assistance --- Medically Underserved Area --- Transients and Migrants --- Poverty --- public health policy --- homelessness --- Canada --- Dentistry --- HIV --- Mental disorder --- Supportive housing