The Relevance of Policy, Practices and Other Dynamics in the Lives of People Facing Mental Health and Addictions Challenges and Homelessness
Bibliographic record
Abstract
Limited research explicitly addresses the diverse experiences of people who face mental health and addictions challenges and homelessness (MHACH) in rural Canada, although it is well documented that they face significant health inequities. This critical ethnography, exploring how policies and dynamics affect the lived experience of adults facing MHACH in rural Southwestern Ontario, aimed to enhance responsive policy and supports. Using purposive convenience sampling, semi-structured interviews were completed with four people with lived experience (PWLE) and three key informants. Using conventional content analysis and critical social theory, themes emerging from the narratives illustrated the complexity of PWLE’s lives, survival strategies and resourcefulness. PWLE were contradictorily visible and invisible, encountering profound barriers to care such as stigma and discrimination that resulted in their feeling “less than human”. Nursing implications include the importance of giving voice to PWLE, so we can understand how policy and practice decisions impact their everyday lives.
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 machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.003 | 0.006 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.001 | 0.001 |
| Science and technology studies | 0.016 | 0.022 |
| Scholarly communication | 0.007 | 0.004 |
| Open science | 0.001 | 0.005 |
| Research integrity | 0.001 | 0.002 |
| Insufficient payload (model declined to judge) | 0.003 | 0.000 |
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.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
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".