Under the radar: Examining how people experiencing homelessness sense impending disasters

Andrea Ramos

doi:10.5055/jem.0901

Authors

Andrea Ramos, PhD, MSPH https://orcid.org/0000-0003-2502-2727

DOI:

https://doi.org/10.5055/jem.0901

Keywords:

homelessness, impending disasters, lived experiences, disaster information, evacuations

Abstract

This study investigates the intersection of homelessness and disaster preparedness, focusing on how people experiencing homelessness (PEH) receive and respond to disaster-related information. The research emphasizes the critical roles of environmental cues and technology in alerting PEH to potential hazards. Environmental indicators, such as changes in the sky, wind patterns, and animal behavior, are commonly relied upon, although they can delay protective actions. Mobile phones serve as essential tools for accessing vital information, despite challenges related to affordability and charging access. The study also highlights the importance of trusted community members in disseminating information through informal networks. Using Lindell and Perry’s Protective Action Decision Model as a framework, this qualitative study examines the lived experiences of 41 unsheltered PEH. Key findings underscore the need for tailored communication strategies, integrating services and information into emergency plans, and establishing local government dashboards to enhance disaster preparedness and resilience among PEH. The study provides actionable recommendations for emergency management to better support this vulnerable population.

Author Biography

Andrea Ramos, PhD, MSPH

Florida Atlantic University-Boca Raton Campus, Florida Atlantic University, Boca Raton, Florida

References

Every D, Richardson J: A framework for disaster resilience education with homeless communities. Disaster Prev Manag. 2018; 27(2): 146-158. DOI: 10.1108/dpm-08-2017-0196. DOI: https://doi.org/10.1108/DPM-08-2017-0196

Cusack L, van Loon A, Kralik D, et al.: Extreme weather-related health needs of people who are homeless. Aust J Prim Health. 2013; 19(3): 250. DOI: 10.1071/py12048. DOI: https://doi.org/10.1071/PY12048

Fogel SJ: Reducing vulnerability for those who are homeless during natural disasters. J Poverty. 2017; 21(3): 208-226. DOI: 10.1080/10875549.2016.1141384. DOI: https://doi.org/10.1080/10875549.2016.1141384

Gin JL, Balut MD, Der-Martirosian C, et al.: Managing the unexpected: The role of homeless service providers during the 2017–2018 California wildfires. J Community Psychol. 2021; 49(7): 2532-2547. DOI: 10.1002/jcop.22653. DOI: https://doi.org/10.1002/jcop.22653

Pendrey CGA, Carey M, Stanley J: Impacts of extreme weather on the health and well-being of people who are homeless. Aust J Prim Health. 2014; 20(1): 2. DOI: 10.1071/py13136. DOI: https://doi.org/10.1071/PY13136

Settembrino MR: “Sometimes you can’t even sleep at night:” Social vulnerability to disasters among men experiencing homelessness in Central Florida. Int J Mass Emerg Disasters. 2017; 35(2): 30-48. DOI: 10.1177/028072701703500203. DOI: https://doi.org/10.1177/028072701703500203

Whytlaw JL, Hutton N, Yusuf JEW: Changing vulnerability for hurricane evacuation during a pandemic: Issues and anticipated responses in the early days of the COVID-19 pandemic. Int J Disaster Risk Reduct. 2021; 61: 102386. DOI: 10.1016/j.ijdrr.2021.102386. DOI: https://doi.org/10.1016/j.ijdrr.2021.102386

Brookfield S, Fitzgerald L: Homelessness and natural disasters: The role of community service organisations. Aust J Emerg Manag. 2018; 33(4): 62-68.

Brown LM, Barnett S, Hickling E, et al.: Use of outpatient mental health services by homeless veterans after hurricanes. Psychol Serv. 2013; 10(2): 250-256. DOI: 10.1037/a0031516. DOI: https://doi.org/10.1037/a0031516

Every D, Thompson K: Disaster resilience: Can the homeless afford it? Aust J Emerg Manag. 2014; 29(3): 52-56.

Gaillard JC, Walters V, Rickerby M, et al.: Persistent precarity and the disaster of everyday life: Homeless people’s experiences of natural and other hazards. Int J Disaster Risk Sci. 2019; 10(3): 332-342. DOI: 10.1007/s13753-019-00228-y. DOI: https://doi.org/10.1007/s13753-019-00228-y

Asgary R, Sckell B, Alcabes A, et al.: Perceptions, attitudes, and experience regarding mHealth among homeless persons in New York city shelters. J Health Commun. 2015; 20(12): 1473-1480. DOI: 10.1080/10810730.2015.1033117. DOI: https://doi.org/10.1080/10810730.2015.1033117

Glover AC, Schueller SM, Winiarski DA, et al.: Automated mobile phone-based mental health resource for homeless youth: Pilot study assessing feasibility and acceptability. JMIR Ment Health. 2019; 6(10): E15144. DOI: 10.2196/15144. DOI: https://doi.org/10.2196/15144

Gui X, Forbat J, Nardi B, et al.: Use of information and communication technology among street drifters in Los Angeles. First Monday. 2016; 21(9). DOI: 10.5210/fm.v21i9.6813. DOI: https://doi.org/10.5210/fm.v21i9.6813

Jennings L, Lee N, Shore D, et al.: US minority homeless youth’s access to and use of mobile phones: Implications for mHealth intervention design. J Health Commun. 2016; 21(7): 725-733. DOI: 10.1080/10810730.2015.1103331. DOI: https://doi.org/10.1080/10810730.2015.1103331

McInnes DK, Fix GM, Solomon JL, et al.: Preliminary needs assessment of mobile technology use for healthcare among homeless veterans. Peer J. 2015; 3: E1096. DOI: 10.7717/peerj.1096. DOI: https://doi.org/10.7717/peerj.1096

Rhoades H, Wenzel SL, Rice E, et al.: No digital divide? Technology use among homeless adults. J Soc Distress Homeless. 2017; 26(1): 73-77. DOI: 10.1080/10530789.2017.1305140. DOI: https://doi.org/10.1080/10530789.2017.1305140

Watson T, Schindel TJ, Simpson SH, et al.: Medication adherence in patients with mental illness and recent homelessness: Contributing factors and perceptions on mobile technology use. Int J Pharm Pract. 2020; 28(4): 362-369. DOI: 10.1111/ijpp.12608. DOI: https://doi.org/10.1111/ijpp.12608

Lindell MK, Perry RW: The protective action decision model: Theoretical modifications and additional evidence. Risk Anal. 2012; 32(4): 616-632. DOI: 10.1111/j.1539-6924.2011.01647.x. DOI: https://doi.org/10.1111/j.1539-6924.2011.01647.x

Mabhala MA, Yohannes A, Griffith M: Social conditions of becoming homelessness: Qualitative analysis of life stories of homeless peoples. Int J Equity Health. 2017; 16(1). DOI: 10.1186/s12939-017-0646-3. DOI: https://doi.org/10.1186/s12939-017-0646-3

Gin JL, Eisner RK, Der-Martirosian C, et al.: Preparedness is a marathon, not a sprint: A tiered maturity model for assessing preparedness in homeless residential organizations in Los Angeles. Nat Hazards Rev. 2018; 19(1): 04017027. DOI: 10.1061/(asce)nh.1527-6996.0000276. DOI: https://doi.org/10.1061/(ASCE)NH.1527-6996.0000276

Gin JL, Kranke D, Saia R, et al.: Disaster preparedness in homeless residential organizations in Los Angeles county: Identifying needs, assessing gaps. Nat Hazards Rev. 2016; 17(1): 04015022. DOI: 10.1061/(asce)nh.1527-6996.0000208. DOI: https://doi.org/10.1061/(ASCE)NH.1527-6996.0000208

Vickery J: Every Day is a Disaster: Homelessness and the 2013 Colorado Floods [doctoral dissertation]. Boulder, CO: University of Colorado at Boulder, 2017.

Sundareswaran M, Ghazzawi A, O’Sullivan TL: Upstream disaster management to support people experiencing homelessness. PLoS Curr. 2015. DOI: 10.1371/currents.dis.95f6b76789ce910bae08b6dc1f252c7d. DOI: https://doi.org/10.1371/currents.dis.95f6b76789ce910bae08b6dc1f252c7d

Berg B: Qualitative Research Methods for the Social Sciences. Boston, MA: Allyn & Bacon, 2001.

Brinkmann S: The interview. In Denzin NK, Lincoln YS (eds.): The SAGE Handbook of Qualitative Research. 5th ed. Thousand Oaks, CA: Sage Publications, Inc, 2018: 997-1038.

Rubin HJ, Rubin IS: Qualitative Interviewing: The Art of Hearing Data. Thousand Oaks, CA: Sage Publications, 2012.

Parker I: Qualitative Psychology: Introducing Radical Research. UK: McGraw-Hill Education, 2004.

Mason J: Qualitative Researching. 3rd ed. Thousand Oaks, CA: Sage Publications, 2017.

Creswell JW, Poth CN: Qualitative Inquiry and Research Design: Choosing Among Five Approaches. Thousand Oaks, CA: Sage Publications, 2016.

Corbin J, Strauss A: Basics of Qualitative Research: Techniques and Procedures for Developing Grounded Theory. Thousand Oaks, CA: Sage Publications, 2008. DOI: https://doi.org/10.4135/9781452230153

Saldaña J: The Coding Manual for Qualitative Researchers. Thousand Oaks, CA: Sage Publications, 2021.

Yanow D, Schwartz-Shea P: Interpretation and Method: Empirical Research Methods and the Interpretive Turn. 2nd ed. Milton Park: Routledge, 2015. DOI: https://doi.org/10.4324/9781315703275

Lindell MK, Perry RW: Communicating Environmental Risk in Multiethnic Communities. Thousand Oaks, CA: Sage Publications, 2004. DOI: https://doi.org/10.4135/9781452229188

Tierney KJ, Lindell MK, Perry RW: Facing the Unexpected: Disaster Preparedness and Response in the United States. Washington, DC: Joseph Henry Press, 2001.

McCaffrey S, Wilson R, Konar A: Should I stay or should I go now? Or should I wait and see? Influences on wildfire evacuation decisions. Risk Anal. 2018; 38(7): 1390-1404. DOI: 10.1111/risa.12944. DOI: https://doi.org/10.1111/risa.12944

Paul BK, Dutt S: Hazard warnings and responses to evacuation orders: The case of Bangladesh’s cyclone Sidr. Geogr Rev. 2010; 100(3): 336-355. DOI: 10.1111/j.1931-0846.2010.00040.x. DOI: https://doi.org/10.1111/j.1931-0846.2010.00040.x

Streby HM, Kramer GR, Peterson SM, et al.: Tornadic storm avoidance behavior in breeding songbirds. Curr Biol. 2015; 25(1): 98-102. DOI: 10.1016/j.cub.2014.10.079. DOI: https://doi.org/10.1016/j.cub.2014.10.079

Udyawer V, Chin A, Knip DM, et al.: Variable response of coastal sharks to severe tropical storms: Environmental cues and changes in space use. Mar Ecol Prog Ser. 2015; 527: 277-290. DOI: 10.3354/meps11239. DOI: https://doi.org/10.3354/meps11239

Bailey H, Secor DH: Coastal evacuations by fish during extreme weather events. Sci Rep. 2016; 6(1). DOI: 10.1038/srep30280. DOI: https://doi.org/10.1038/srep30280

Strahan K: Factors Influencing Householder Self-Evacuation in Two Australian Bushfires [doctoral dissertation]. Melbourne, Australia: RMIT University, Mathematics and GeoScience, 2017.

Whittaker J, Taylor M, Bearman C: Why don’t bushfire warnings work as intended? Responses to official warnings during bushfires in New South Wales, Australia. Int J Disaster Risk Reduct. 2020; 45: 101476. DOI: 10.1016/j.ijdrr.2020.101476. DOI: https://doi.org/10.1016/j.ijdrr.2020.101476

Huang SK, Lindell MK, Prater CS, et al.: Household evacuation decision making in response to Hurricane Ike. Nat Hazards Rev. 2012; 13(4): 283-296. DOI: 10.1061/(asce)nh.1527-6996.0000074. DOI: https://doi.org/10.1061/(ASCE)NH.1527-6996.0000074

HopeSouthFlorida: Our history. 2019. Available at https://www.hopesouthflorida.org/about-us/our-history/. Accessed April 12, 2023.

Whittaker J, Haynes K, Handmer J, et al.: Community safety during the 2009 Australian ‘Black Saturday’ bushfires: An analysis of household preparedness and response. Int J Wildland Fire. 2013; 22(6): 841-849. DOI: 10.1071/WF12010. DOI: https://doi.org/10.1071/WF12010

Dash N, Gladwin H: Evacuation decision making and behavioral responses: Individual and household. Nat Hazards Rev. 2007; 8(3): 69-77. DOI: 10.1061/(asce)1527-6988(2007)8:3(69). DOI: https://doi.org/10.1061/(ASCE)1527-6988(2007)8:3(69)

Lechner HN, Rouleau MD: Should we stay or should we go now? Factors affecting evacuation decisions at Pacaya volcano, Guatemala. Int J Disaster Risk Reduct. 2019; 40: 101160. DOI: 10.1016/j.ijdrr.2019.101160. DOI: https://doi.org/10.1016/j.ijdrr.2019.101160

Strahan KW, Whittaker J, Handmer J: Predicting self-evacuation in Australian bushfire. Environ Hazards. 2019; 18(2): 146-172. DOI: 10.1080/17477891.2018.1509940. DOI: https://doi.org/10.1080/17477891.2018.1512468