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. Author manuscript; available in PMC: 2022 Feb 25.
Published in final edited form as: J Health Care Poor Underserved. 2022;33(1):268–285. doi: 10.1353/hpu.2022.0020
Narrative Potential Follow-Up Questions Potential Follow-Up Questions (if not noted in discussion)
Joe is 58 years old and lost his housing 3 years ago when he lost his job in a warehouse. He’s living in a tent under the freeway. His sister lives in a 2-bedroom apartment in Fruitvale with her husband and two teenage children. Joe has stayed at his sister’s for 6 nights in the last 2 years. He says the reason he doesn’t stay more often is because he doesn’t want to be a burden to her and her family. She said that he could stay more often. Discuss broadly and then present back what is there and not there- these may be helpful:

○ What in this story strikes you?
○ What’s missing? What more do you want to know more about in Joe’s story?
○ What is the biggest challenge of this story?
○ What might help Joe?
○ Why do you think he did he not ask to stay more?
○ How could Joe stay in the house?
○ I’d want to know what Joe is like and how he interacts with others living there. What is his relationship like with his sister and her husband, the children?
○ How would his behaviors change things? Does he use drugs?
○ Where would he sleep?
Sam stays with his niece and she wants him to give money towards the rent-- which he does. But he also wants to use some of this money for his storage locker. Sam found out that his niece was not paying her rent on time. He was getting more angry with her all the time and she was getting mad at him too. He felt he was in-between a rock and a hard place and decided to move on. ○ What in this story strikes you?
○ What more do you want to know more about in Sam’s story?
○ What’s missing?
○ What is the biggest challenge of this story?
○ What might help Sam?
○ Do you think this is a common type of story of family members not getting along when someone who is an older homeless adult comes to stay?
○ What kind of conflict do you think would be most likely here- words, yelling, threatening?
○ What do you know about how people who move in with family or friends deal with storage for their stuff, their possessions?
○ Do you think that Sam and his niece could have worked out some kind of a plan with the money and his storage locker?
Gladys is a single mom and works 40 hours a week. Her dad Tom just left the winter shelter and is staying with her. Tom offered to give her some of his SSI money every month. Gladys also asked Tom to help her out some with childcare for her school aged son. Gladys is worried that the landlord will find out that Tom is staying. The family is getting along fine and Tom enjoys staying with Gladys and his grandson. ○ What in this story strikes you?
○ What more do you want to know more about in Gladys story? Or about Tom?
○ What’s missing?
○ What is the biggest challenge of this story?
○ What might help Gladys or Tom or both of them?
○ Do you think the landlord had a right to know about Tom staying?
○ Have you heard of people being asked to do lots of childcare or other chores in exchange for a place to stay?
○ What about people being asked to do chores or work that is hard on them physically or emotionally?
Brenda is a 63 yo AA woman who became homeless when her mother died and the house she lived in all her life was sold by her brother last year. She’s been staying on and off with different friends ever since. She could live with her niece, but it’s all the way on the other side of town and she’s worried about being isolated. She also thinks her niece’s apartment is too crowded, often with people she doesn’t know. ○ What in this story strikes you?
○ What more do you want to know more about in Brenda’s story? Or about her?
○ What’s missing?
○ What is the biggest challenge of this story?
○ What might help Brenda?
○ How will this kind of move affect Brenda’s connections/friends?
○ How will Brenda access services in her niece’s neighborhood?
○ How might this living arrangement affect her sense of her own independence? Or finding peace?
Richard is a 65 year old currently living on the street. He doesn’t want to live at a shelter. He has received his medical care at a clinic in Oakland for 15 years and likes his doctor. He would like to live with his ex-wife and have her take care of him - -She could get paid to be his care giver/ IHHS worker. However, his case manager has recommended senior subsidized housing in Fresno instead. ○ What in this story strikes you?
○ What more do you want to know more about in Richard’s story? Or about him or his health?
○ What’s missing?
○ What is the biggest challenge of this story?
○ What might help Richard?
○ Have you heard people discuss this model of care – where someone is a paid caregiver of someone else- to help with their health? If so who brings it up?
○ What do you think about the case manager’s suggestion?
○ What do you know about people moving out of the area to get senior subsidized housing?
○ What else do you think about IHHS and how it works for families when someone moves in since they were homeless? Is it too crowded to do? Does it affect leases in harmful ways (e.g. equal contribution, bigger lease requirements)?
Howard is 68 year old man, and has been homeless off and on for many years. He uses a walker to get around and is worried that his health is declining. His son lives with his girlfriend in a one bedroom apartment in San Leandro and receives workers comp because of his bad back. Howard and his son are talking about Howard moving in, but his son’s landlord says he will increase the rent if anyone moves in. ○ What in this story strikes you?
○ What more do you want to know more about in Howard’s story? Or about him or his son?
○ What’s missing?
○ What is the biggest challenge of this story?
○ What might help Howard and his son?
○ What should be worked out before Howard and his son take any steps to move Howard in?
○ Have you heard about landlords doing this?
○ Who would be responsible for paying extra?
○ What if the building did not have elevator or other helps for the father?
○ What about the impact on other bills that may increase?
Tasha is a 56-year-old African-American woman who is in recovery from years of heroin use. She recently lost her part-time job at her church and is staying at the shelter. Her cousin has an apartment in West Oakland and has offered her the living room couch. She would like to move there but worries about being back in her old neighborhood. She has heard the police are targeting a lot of old residents because the neighborhood is getting expensive and upscale.
○ What in this story strikes you?
○ What more do you want to know more about in Tasha’s story? Or about her?
○ What’s missing?
○ What is the biggest challenge of this story?
○ What might help Tasha?
○ Why is she worried about being back in her old neighborhood?
○ Do you think that her feelings about being triggered re her use in her neighborhood are like how you have heard about before? Do you think the way she gets support for her recovery services are affected by the gentrification and her access to drug treatment services?
○ What might help her keep connected to her community resources and support given the gentrification/changes?
○ How do you think it will make her feel to be staying on the couch and it being crowded?
○ Do you think the services in her community are changing? Where can she go? Access to food? Public transport? Treatment and low-income.
Roy is a 65-year-old African-American man who is homeless after his release from three years in prison for possession of marijuana with intent to sell. This was his third, and he hopes last, experience doing time. His youngest daughter has an apartment in Stockton with an extra room and Roy would like to move in, but the apartment is next to elementary school and Roy is worried that would violate the terms of his parole. ○ What in this story strikes you?
○ What more do you want to know more about in Roy’s story? Or about him? What’s more do we want to know/what’s missing?
○ What is the biggest challenge of this story?
○ What might help Roy?
○ Would you want to know more about the rules of his parole? Do you think others also worry about violations as they relate to this possible move?
○ Is that common that people have to travel back here for their community or do they stay away? E.g. coming back to see people, access services, neighborhood, churches?
○ What have you heard about people moving to places a few hours away such as Stockton or the Central Valley? How might that relocation affect homeless folks?
Bob is a 65 year old man from West Oakland had a fall and is now in the hospital. He feels that he is more forgetful these days. His case manager just found an apt in E Oakland but he grew up in West Oakland and was hoping to stay with his brother who lives there. He is worried about getting lost in a new place he doesn’t really know. He feels that a new environment will push him over the edge in feeling the stress of keeping on top of all, but he also is not sure his brother, who is also in poor health, can handle anything else. ○ What in this story strikes you?
○ What more do you want to know more about in Bob’s story? Or about him? What’s more do we want to know/what’s missing?
○ What is the biggest challenge of this story?
○ What might help Bob?
○ What do you think about Bob’s concerns? His brother’s concerns?
○ What about the case worker’s suggestion?