Transatlantic Dialogues on Homelessness and Beyond


~Celebrating a New Publication for 2018~

Cross-Cultural Dialogues on Homelessness: From Pretreatment Strategies to Psychologically Informed Environments

Latest news: -Featuring latest Video Interview and Journal Review-

-Episode 55: Talking Trauma Across the Atlantic with Jay Levy & Robin Johnson-Trauma-Informed Lens Podcast

-Very positive review by Matthew Bennett in the Journal of Social Distress and the Homeless – 27(2), 2018.  It is entitled Shifting perspectives and finding gold: a review of Cross-Cultural Dialogues on Homelessness  – An excerpt of the review can be found here 

-Cross-Cultural Dialogues on homelessness has been added to the student reading list for the module on Homeless and Inclusion Health delivered at the Institute of Epidemiology and Health Care, University College London.

Now available via Barnes & NobleAmazon Kindle e-bookHardcover, and Paperback. All formats are also available worldwide via Book Depository and  Amazon-UK , Amazon CA, as well as other outlets-

Or order paperbacks directly from the publisher Here – Save 20% and get FREE Shipping when you use coupon code HELPHOMELESS

Cross-Cultural Context

During this past summer I had the honor of visiting my friends and co-authors from the UK. They are: Robin Johnson, John Conolly, Ray Middleton, and Suzanne Quinney. Together we had recently completed a book project entitled-

Cross-Cultural Dialogues on Homelessness: From Pretreatment Strategies to Psychologically Informed Environments

As you may have surmised I live and work in the States, so in many respects the whole project was a transatlantic dialogue on homelessness. However, upon digging a little deeper it became evident that the dialogue that I sought was actually occurring on many fronts that included, but also transcended transatlantic considerations and really spoke to different cultures, roles, types of relationships, identity, power dynamics and so on.

Cultural divides in need of crossing existed between workers and clients, clients and different systems of care that we had hoped to access, Peer and non-Peer workers, the different sub-groups of clients and workers – young and old, male, female, LGBTQ, across the whole spectrum of religion, race, and varied ethnicities, etc.

So, this became a study of how to both respect and bridge differences by fostering effective and meaningful communication. As I like to say (Levy,  2013), “We are interpreters and bridge builders. Engagement is the foundation of our work and our main tool is Common Language Construction.”

The quest toward ‘productive dialogue’ is critical to building the person-centered relationships* that both PIE and Pre-treatment approaches value and defines as an essential part of our practice.

*Relationships are central to the PIE 2.0 framework and more information can be found HERE.

Our latest book project Cross-Cultural Dialogues on Homelessness delves further into some specific methods of dialogue paired with numerous narratives that demonstrate how cross cultural divides can be crossed in order to promote person centered relationships.

  Transatlantic Dialogues on Trauma and Homelessness

Our hope is to share and encourage transatlantic dialogues on homelessness that includes our narratives, challenges and successes in order to promote mutual learning and communication, as well as a more informed practice.

We have crossed the cultural divide in our work with colleagues at various conferences (e.g. International Street Medicine Symposium), sharing insights from around the globe. Of course this is not limited just to conferences, as cross-cultural perspectives on homelessness flow via journal articles, books, University coursework, staff trainings, and easily accessible podcasts, as well as through a variety of websites such as the PIElink that offers interviews and library materials on transatlantic homelessness issues.  In fact, I recently taught the first graduate studies course on PIE and Pretreatment, utilizing multi-media resources from PIE-Link, with college students in the US. These forums, as well as the exchange programs between the US and UK, provide the opportunities to share insights from PIE and Trauma Informed Care approaches to homelessness.

Robin Johnson, the founder of PIE, recently developed a dedicated section on Transatlantic Dialogues that can be found via PIELink.  Check out the following menu items that Robin has highlighted for further exploration:

The Transatlantic Exchange Programme

A Two-Way Trade

Cross-Cultural Dialogues on Homelessness- Including a Transatlantic Homelessness Glossary

PIEs and HF in Europe

American PIE

Advance Book Reviews:                                                                                                                      In  Cross-Cultural Dialogues on Homelessness, Jay Levy and co-authors provide the conceptual tools, the hitherto “missing language”, needed by practitioners and policy makers working with excluded individuals. This well-written and insightful book outlines the psychologically informed approach that has been successfully used in the US, UK and other countries to re-integrate people who have experienced homelessness, severe mental illness and, frequently, other traumatic life events. This book has been informed by the authors’ practice and should come with a warning: it will revolutionise how you work – irreversibly and, undoubtedly, for the better. 

Clíona Cheallaigh, MB, MRCP Consultant Physician and Clinical Lead, Inclusion Health Service Pilot, St James’s Hospital, Dublin
Faculty, Global Brain Health Institute

     Jay Levy and colleagues’ “Cross-Cultural Dialogues on Homelessness: From Pretreatment Strategies to Psychologically Informed Environments” provides wonderful insight into the profound relationship-building that is the core of street outreach to the unsheltered homeless. Jay distills many decades of his own street experience, and by cross comparing his brilliant schema of Pretreatment with the British model of Psychologically Informed Environments (PIE), he reveals the underlying common processes of effective street engagement. Essentially, Jay shows us how to compassionately embrace the reality of those who fall within the underwater portion of the “pre-contemplative” iceberg of behavioral change. As a long-time practitioner of street medicine, I recommend this book to anyone who seeks that sacred place on the streets where healing begins.

Jim Withers, MD (Pittsburgh, PA)
Founder and Medical Director
Operation Safety Net and the Street Medicine Institute

More information on the International Street Medicine Symposium can be found HERE.

The above video features Robin Johnson who is the founder of the ‘Psychologically Informed Environments’ movement.

~ We Support Human Rights, Freedom & Diversity ~

Pretreatment Guide for Homeless Outreach & Housing First: Helping Couples, Youth, and Unaccompanied Adults (paperback/e-book) is now available


Order it today via Barnes & Noble ~ Nook E-book or Amazon ~ Kindle E-book

“This book is essential reading to both people new to the movement to end homelessness and folks who have been in the trenches for many years.” 
-Michael Stoops, National Coalition for the Homeless– USA

Outreach clinicians, social workers, case managers, and concerned community members are provided with a pretreatment guide for helping homeless couples, youth, and single adults. Chapters explore policy and research accompanied by narratives that trace a person’s journey from homelessness to housing and beyond. The inter-relationship between Homeless Outreach and Housing First is examined in detail to inform program development and hands on practice. Pretreatment Guide for Homeless Outreach & Housing First shares 5 intricate stories from the field to elucidate effective ways of helping, while demonstrating how the most vulnerable among us can overcome trauma and homelessness.

Jay Levy is homeless outreach social worker and manager, and the author of three books on Homelessness and ‘Pretreatment’. Here at YOUTUBE.COM  he talks with Ray Middleton from the UK- Check out the above video!

Thus far more than 40% of book related profits ($3357) have been given to national (U.S.) charities that support the goal and ideal of ending homelessness.  Please see Donations page for more details

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