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The Wishes, Perceived Barriers, and Support Needs of People Living in Persistent Poverty
Lincy Scholten1,2, Sandra H H Schel1,2, Linda van den Dries1
1Department of Primary and Community Care, Research Institute for Medical Innovation, Radboud University Nijmegen Medical Center, Nijmegen, The Netherlands.
Abstract:
This study explores the wishes, perceived barriers, and support needs of people living in persistent poverty. These remain undetermined, yet are essential for developing effective support for this group. We conducted semi-structured video call interviews with people living in persistent poverty (n = 14), peer workers (n = 5), and practitioners (n = 5) in five municipalities in the Netherlands. The findings show that wishes revolve around improving individuals' socio-economic security, their (loved-ones') well-being, and relatedness. The realization of these wishes is hindered by socio-economic barriers, support structures, psychological processes, and an intergroup reality gap. Participants therefore advocated for structural changes in policy and practice. These include more income, a focus on poverty prevention, easily accessible and tailor-made support, and bridging the gap between the living and system world. In addition, service provision for people living in persistent poverty should prioritize the quality of the working alliance, self-direction, a holistic approach, and the engagement of peer workers.
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