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Record W4413911258 · doi:10.1037/ort0000882

“Making a homeless person even more homeless … it’s a necessary evil”: The health and safety complexities of service restrictions as perceived by emergency shelter staff.

2025· article· en· W4413911258 on OpenAlexafffundabout
Nick Kerman, Amanda Noble, Sean A. Kidd, Carrie Anne Marshall, Vicky Stergiopoulos

Bibliographic record

VenueAmerican Journal of Orthopsychiatry · 2025
Typearticle
Languageen
FieldHealth Professions
TopicHomelessness and Social Issues
Canadian institutionsUniversity of TorontoWestern UniversityCentre for Addiction and Mental Health
FundersCity of TorontoSocial Sciences and Humanities Research Council of Canada
KeywordsService (business)NursingPsychologySociologySocial psychologyMedicineBusiness

Abstract

fetched live from OpenAlex

Service restrictions involve people experiencing homelessness being banned from an emergency shelter in response to a violation of program policies. Their use can be a pathway into unsheltered homelessness and reliance on other institutional services. However, the prevalence of service restriction use and the perspectives of shelter staff toward the practice are unknown. Accordingly, this mixed methods study used a one-phase QUAL(quan) embedded design to examine the reasons for implementing service restrictions, as recorded by shelter staff in administrative data and their perceptions of the practice, with a focus on impacts. Two sources of data were used: (a) semistructured interviews with 30 staff working in shelters in Toronto, Canada, and (b) administrative data from 2014 to 2021 on the reasons for service restriction issuance across Toronto's shelter system. Assault and threatening or violent behavior were common reasons for service restriction and had increased in recent years. Despite the prevalence of their use, service restrictions were perceived as a necessity ("necessary evil") by shelter staff but could also challenge and unsettle staff due to the potential for further harms to people experiencing homelessness ("making a homeless person even more homeless"). Improving violence prevention approaches, developing alternative responses for nonviolent behaviors that violate shelter policies, and implementing training and support interventions to enhance workplace mental health and wellness among shelter staff could address underlying issues linked to service restrictions. (PsycInfo Database Record (c) 2025 APA, all rights reserved).

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

How this classification was reachedexpand

Full frame distilled prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.

metaresearch head score (Codex)0.001
metaresearch head score (Gemma)0.000
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesScience and technology studies
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Qualitative · Consensus signal: none
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.412
Threshold uncertainty score1.000

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0010.000
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0010.000
Bibliometrics0.0000.001
Science and technology studies0.0010.000
Scholarly communication0.0000.000
Open science0.0000.000
Research integrity0.0000.001
Insufficient payload (model declined to judge)0.0000.000

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.044
GPT teacher head0.412
Teacher spread0.368 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one teacher head, not a consensus.

Study designQualitative
Domainnot available
GenreEmpirical

How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".

Quick stats

Citations1
Published2025
Admission routes3
Has abstractyes

Explore more

Same venueAmerican Journal of OrthopsychiatrySame topicHomelessness and Social IssuesFrench-language works237,207