Journal of Nursing, Social Studies, Public Health and Rehabilitation X:X | DOI: 10.32725/jnss.2026.003
Determinants facilitating the participation of people experiencing homelessness in social work interventions: A scoping review
- University of South Bohemia, Faculty of Health and Social Sciences, České Budějovice, Czech Republic
The participation of people experiencing homelessness in social work interventions is a key precondition for successful social work and long-term change in the life situation of this vulnerable group. This scoping review analyses scientific literature published between 2020 and 2025 and synthesizes the key determinants supporting the participation of people experiencing homelessness in social work interventions. The results confirm that the interplay of individual characteristics (self-efficacy, resilience, readiness to change, experience with trauma), quality relationships (trust, peer support, coordination of care), systemic factors, and the form of the interventions themselves play a key role. Innovative models such as Housing First and trauma-informed care have positive effects, but their effectiveness is significantly conditioned by choice, coordination of services, and the removal of systemic barriers such as stigma, fragmentation, and low housing availability. The study highlights the importance of participatory and empowerment approaches, including the meaningful involvement of people with experience of homelessness, which significantly increase the effectiveness and sustainability of the system. Recommendations for practice and further research are discussed, with an emphasis on long-term sustainability, innovation, and inclusion for diverse populations.
Keywords: Determinants; Empowerment; Homelessness; Housing First; Participation; Social work intervention
Grants and funding:
This work was supported by the Grant Agency of the University of South Bohemia in České Budějovice (reg. no. 144/2025/S).
Conflicts of interest:
The authors have no conflict of interest to declare.
Received: November 14, 2025; Revised: January 13, 2026; Accepted: February 2, 2026; Prepublished online: February 2, 2026
References
- Armstrong M, Shulman C, Hudson B, Stone P, Hewett N (2021). Barriers and facilitators to accessing health and social care services for people living in homeless hostels: a qualitative study of the experiences of hostel staff and residents in UK hostels. BMJ Open 11(10): e053185. DOI: 10.1136/bmjopen-2021-053185.
Go to original source...
Go to PubMed... - Bodley-Scott E, Ward RJ, Tarabay J, Fagbamigbe AF, Barker S, Maguire N (2024). The effectiveness of psychological interventions for people experiencing homelessness: A systematic review. J Community Appl Soc Psychol 34(2): e2863. DOI: 10.1002/casp.2863.
Go to original source... - Camp B, Elahi A, Waqas A, Weatherhead S (2025). Exploring the trauma experiences of people working in homelessness services. BMJ Open 15(9): e087270. DOI: 10.1136/bmjopen-2024-087270.
Go to original source...
Go to PubMed... - Chung GKK, Chan CY, Chan SM, Wong H (2025). Determinants of food insecurity in homeless people: evidence from the territory-wide homeless census in Hong Kong. Public Health Nutr 28(1): e154. DOI: 10.1017/S1368980025100980.
Go to original source...
Go to PubMed... - Dobischok S, Archambault L, Goyer MÈ (2024). Trauma Informed Care (TIC) Interventions for Populations Experiencing Addiction and/or Homelessness: A Scoping Review of Outcomes. J Drug Issues. DOI: 10.1177/00220426241263264.
Go to original source... - EUDA (2024). European Drug Report 2024: Trends and Developments. Luxembourg: Publications Office of the European Union. DOI: 10.2810/91693.
Go to original source... - FEANTSA (2024). Peer support: A tool for recovery in homelessness services. FEANTSA Policy Paper. [online] [cit. 2026-01-12]. Available from: https://www.bmszki.hu/sites/default/files/fajlok/node-313/peer_support_policy_paper_FEANTSA.pdf
- Fields JD, Assaf RD, Nguyen KH, Platamone CC, Pottebaum JM, Giannola J, Kushel MB (2025). Health care access and use among adults experiencing homelessness. JAMA Health Forum 6(5): e254280. DOI: 10.1001/jamahealthforum.2025.0820.
Go to original source...
Go to PubMed... - Grove LR, Benzer JK, McNeil MF, Mercer T (2025). Integrated care for people experiencing homelessness: changes in emergency department use and behavioral health symptom severity. BMC Health Serv Res 25(1): 777. DOI: 10.1186/s12913-025-12860-0.
Go to original source...
Go to PubMed... - Haidar S, Roederer T, Allaire C, Mollo B, Vincent Ch, Bonmarin I, et al. (2024). A conceptual framework to model social determinants of COVID-19 vaccine uptake among underserved homeless populations. Vaccine: X 18: 100472. DOI: 10.1016/j.jvacx.2024.100472.
Go to original source...
Go to PubMed... - Homeless Network Scotland & Scottish Government (2023). Housing First Scotland: Annual Report 2023 - Check-Up. Glasgow: Homeless Network Scotland / Scottish Government. [online] [cit. 2026-01-12]. Available from: https://homelessnetwork.scot/wp-content/uploads/2024/04/Housing_First_2023_Check-up-v2-1.pdf
- Idox Group (2025). Housing First in focus. Idox Insights. [online] cit. 2026-01-12]. Available from: https://www.idoxgroup.com/insights/housing-first-in-focus/
- Jubinville W, Ducharme R, Hendryckx Ch, Roy L, Bottari C (2025). Barriers, facilitators and solutions to the care of people experiencing homelessness with traumatic brain injury in Quebec, Canada: clinicians' and concerned parties' perspectives. Disabil Rehabil 47(26): 7063-7072. DOI: 10.1080/09638288.2025.2496359.
Go to original source...
Go to PubMed... - Ketel C, Abdoli S (2025). Resiliency in persons experiencing homelessness: A Concept Analysis Using the Evolutionary Framework. J Adv Nurs 81(2): 749-761. DOI: 10.1111/jan.16440.
Go to original source...
Go to PubMed... - Kirwan D, McLaughlin K (2024). Trauma-informed care in a homeless women's shelter: a mixed method evaluation. International Journal of Homelessness 4(2): 171-199. DOI: 10.5206/ijoh.2023.3.16652.
Go to original source... - Marshall CA, Easton C, Javadizadeh E, Holmes J, Phillips B, Isard R (2024). Effectiveness of interventions for meaningful activity participation among persons in homelessness: A systematic review. Can J Occup Ther 91(3): 256-271. DOI: 10.1177/00084174241233519.
Go to original source...
Go to PubMed... - Moledina A, Magwood O, Agbata E, Hung JH, Saad A, Thavorn K, Pottie K (2021). A comprehensive review of prioritized interventions to improve the health and wellbeing of persons with lived experience of homelessness. Campbell Syst Rev 17(2): e1154. DOI: 10.1002/cl2.1154.
Go to original source...
Go to PubMed... - Munthe-Kaas HM, Berg RC, Blaasvær N (2018). Effectiveness of interventions to reduce homelessness: A systematic review and meta-analysis. Campbell Syst Rev 14(1): 1-281. DOI: 10.4073/csr.2018.3.
Go to original source...
Go to PubMed... - National Alliance to End Homelessness (2022). State of Homelessness: 2022 Edition. Washington, DC: National Alliance to End Homelessness. [online] [cit. 2026-01-12]. Available from: https://endhomelessness.org/wp-content/uploads/2023/05/StateOfHomelessness_2022.pdf
- National Alliance to End Homelessness (2023). Working in Homeless Services: A Survey of the Field. Washington, DC: National Alliance to End Homelessness. [online] [cit. 2026-01-12]. Available from: https://endhomelessness.org/resources/research-and-analysis/working-in-homeless-services-a-survey-of-the-field/
- Nejadghaderi SA, Emadi S, Mohammadyan GR, Sharifi H, Fasihi Harandi M, Haghdoost A (2025). The prevalence of homelessness and its associated factors among people who inject drugs in Iran: results from nationwide bio-behavioral surveillance surveys in 2020 and 2023. BMC Public Health 25(1): 2036. DOI: 10.1186/s12889-025-23204-2.
Go to original source...
Go to PubMed... - NICE - National Institute for Health and Care Excellence (2022). Integrated health and social care for people experiencing homelessness (NICE Guideline NG214). London: NICE. [online] [cit. 2026-01-12]. Available from: https://www.nice.org.uk/guidance/ng214
- OECD (2024). OECD Toolkit to Combat Homelessness. OECD Publishing, Paris. DOI: 10.1787/0fec780e-en.
Go to original source... - OECD (2025). OECD Monitoring Framework to Measure Homelessness. Paris: OECD Publishing. [online] [cit. 2026-01-12]. Available from: https://www.oecd.org/content/dam/oecd/en/publications/reports/2025/01/oecd-monitoring-framework-to-measure-homelessness_7b704e9d/3e98455b-en.pdf
Go to original source... - O'Shaughnessy BR, Michelle Greenwood R (2020). Empowering features and outcomes of homeless interventions: A systematic review and narrative synthesis. Am J Community Psychol 66(1-2): 144-165. DOI: 10.1002/ajcp.12422.
Go to original source...
Go to PubMed... - Rayner JK (2023). An exploration of homelessness and mental health [Doctoral thesis]. Bangor University.
- Roggenbuck C (2022). Housing First: Implementation, Effectiveness, and Outcomes - An Evidence Review. Australia: Australian Housing and Urban Research Institute. [online] [cit. 2026-01-12]. Available from: https://coilink.org/20.500.12592/m9wfzj
- ©imon M, Latečková M, Potluka O (2025). Evaluation study of joint social work and healthcare provision for people experiencing homelessness. Int Social Work 68(2): 412-428.
- Slesnick N, Zhang J, Feng X, Mallory A, Martin J, Famelia R, et al. (2023). Housing and supportive services for substance use and self-efficacy among young mothers experiencing homelessness: A randomized controlled trial. J Subst Abuse Treat 144: 108917. DOI: 10.1016/j.jsat.2022.108917.
Go to original source...
Go to PubMed... - Thirkle SA, John DA, Adams EA, Harland J, Kaner E, Ramsay SE (2025). Learning from a multi-agency trauma-informed care training initiative supporting people experiencing homelessness in rural and coastal areas: a qualitative study. BMC Health Serv Res 25(1): 1175. DOI: 10.1186/s12913-025-13371-8.
Go to original source...
Go to PubMed... - Tinelli M (2025). Empowering people who are homeless to rebuild their lives and thrive in society. LSE Research for the World. London School of Economics. [online] [cit. 2026-01-12]. Available from: https://www.lse.ac.uk/research/research-for-the-world/society/empowering-homeless-rebuild-lives
- van Rüth V, König HH, Bertram F, Schmiedel P, Ondruschka B, Püschel K, et al. (2021). Determinants of health-related quality of life among homeless individuals during the COVID-19 pandemic. Public Health 194: 60-66. DOI: 10.1016/j.puhe.2021.02.026.
Go to original source...
Go to PubMed... - Warren GC, Kennedy CJ, Gavas N, Schmidt J, Woodin E, Breese Biagoni J, Garcia-Barrera MA (2025). Barriers and facilitators to housing and healthcare services for people experiencing homelessness with concurrent acquired brain injury and mental health or substance use disorders: a qualitative study. Front Public Health 13: 1643689. DOI: 10.3389/fpubh.2025.1643689.
Go to original source...
Go to PubMed... - Weightman AL, Kelson MJ, Thomas I, Mann MK, Searchfield L, Willis S, et al. (2023). Exploring the effect of case management in homelessness per components: A systematic review of effectiveness and implementation, with meta-analysis and thematic synthesis. Campbell Syst Rev 19(2): e1329. DOI: 10.1002/cl2.1329.
Go to original source...
Go to PubMed...
This is an open access article distributed under the terms of the Creative Commons Attribution 4.0 International License (CC BY 4.0), which permits use, distribution, and reproduction in any medium, provided the original publication is properly cited. No use, distribution or reproduction is permitted which does not comply with these terms.



ORCID...