Structural Racism and Low Threshold Shelters: Experience of Racially and Ethnically Diverse Unsheltered Individuals...

Area of Science:

• Public Health
• Sociology
• Racial Equity Studies

Background:

• Boston implemented seven low-threshold shelters (LTS) to combat unsheltered homelessness.
• These shelters serve individuals with substance use disorders, prioritizing marginalized racial and ethnic groups.

Purpose of the Study:

• To investigate the experiences of racially and ethnically marginalized guests and staff within Boston's LTS.
• To identify barriers and facilitators to housing stability for individuals experiencing homelessness and substance use disorder.

Main Methods:

• Qualitative study utilizing semi-structured interviews with 23 LTS guests.
• Focus groups with 35 LTS staff were conducted.
• Thematic framework analysis was employed to analyze qualitative data.

Main Results:

• Structural racism creates significant barriers to housing stability, including stigma, discrimination, and criminal-legal system involvement.
• Low-threshold shelters (LTS) are crucial for addressing immediate needs and fostering short-term stability.
• Challenges persist in transitioning to permanent housing, such as obtaining identification and securing adequate long-term support.

Conclusions:

• Low-threshold shelters (LTS) show promise in advancing short-term racial equity for homeless populations.
• Sustained financial, social, behavioral health, and medical support are essential for long-term housing retention.
• Addressing systemic inequities requires ongoing, multifaceted interventions beyond immediate shelter provision.