{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,14]],"date-time":"2025-11-14T09:48:23Z","timestamp":1763113703414,"version":"3.45.0"},"reference-count":23,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2025,6,18]],"date-time":"2025-06-18T00:00:00Z","timestamp":1750204800000},"content-version":"vor","delay-in-days":17,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Health Expectations"],"published-print":{"date-parts":[[2025,6]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>People experiencing homelessness experience high levels of trauma and psychological distress, but rarely access or engage with formal mental health services. The National Framework for Inclusion Health highlights collaboration between the NHS and third sector organisations as essential for reducing health inequalities. Providing clinical placements in third sector organisations for clinical psychology trainees may offer a valuable route to addressing this gap, whilst providing a beneficial learning experience.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Qualitative semi\u2010structured interviews with clinical psychology trainees, staff in homeless settings and a clinical supervisor were used to explore perceptions of clinical placements and the benefits and challenges experienced by those involved in delivering these placements. Reflective thematic analysis was used to identify key themes in the perceptions of staff, supervisors and trainees.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Three key themes were developed. (1)\n                      <jats:italic>Bringing a psychological mindset<\/jats:italic>\n                      reflected the value that homelessness organisations placed on being helped to think about their client work through a psychological lens and extending this lens to also consider staff well\u2010being. (2)\n                      <jats:italic>Breaking barriers and building bridges<\/jats:italic>\n                      describes how trainees were positioned as brokers who could connect homelessness organisations to formal mental health systems and could advocate for homeless people within these systems in ways which may have long\u2010term effects. (3)\n                      <jats:italic>Working and learning differently<\/jats:italic>\n                      captures how these placements required trainees to work differently by crafting new roles and by adopting different working practices, including navigating complex issues around risk.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Clinical psychology placements within homelessness organisations may help meet the objectives of the NHS National Framework for Inclusion Health by helping create PIEs in homelessness organisations, navigating connections between statutory and third sector organisations, and creating a skilful workforce adept at managing cultural mistrust.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/hex.70334","type":"journal-article","created":{"date-parts":[[2025,6,19]],"date-time":"2025-06-19T01:49:55Z","timestamp":1750297795000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["A Different Way of Working: Embedding Clinical Psychology Placements in Third Sector Organisations Supporting People Experiencing Homelessness"],"prefix":"10.1111","volume":"28","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1244-0495","authenticated-orcid":false,"given":"Hannah","family":"Frith","sequence":"first","affiliation":[{"name":"School of Psychology University of Surrey Guildford UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8226-0441","authenticated-orcid":false,"given":"Mary","family":"John","sequence":"additional","affiliation":[{"name":"School of Psychology University of Surrey Guildford UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Leah","family":"Sharkah","sequence":"additional","affiliation":[{"name":"School of Psychology University of Surrey Guildford UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3602-9898","authenticated-orcid":false,"given":"Jane","family":"Iles","sequence":"additional","affiliation":[{"name":"School of Psychology University of Surrey Guildford UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,6,18]]},"reference":[{"key":"e_1_2_16_2_1","doi-asserted-by":"publisher","DOI":"10.1177\/0020764020924689"},{"key":"e_1_2_16_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/hsc.13884"},{"key":"e_1_2_16_4_1","doi-asserted-by":"publisher","DOI":"10.1186\/1472-6963-12-222"},{"key":"e_1_2_16_5_1","doi-asserted-by":"publisher","DOI":"10.1177\/00420980124523"},{"key":"e_1_2_16_6_1","unstructured":"NHS England.2023.A National Framework for NHS\u2014Action on Inclusion Health accessed December 18 2024 https:\/\/www.england.nhs.uk\/long-read\/a-national-framework-for-nhs-action-on-inclusion-health\/."},{"key":"e_1_2_16_7_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10597-017-0102-2"},{"key":"e_1_2_16_8_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2024-085949"},{"key":"e_1_2_16_9_1","doi-asserted-by":"publisher","DOI":"10.1002\/casp.2162"},{"key":"e_1_2_16_10_1","doi-asserted-by":"publisher","DOI":"10.1108\/MHRJ-03-2017-0017"},{"key":"e_1_2_16_11_1","unstructured":"British Psychological Society.2010.Clinical Psychology Leadership Development Framework accessed December 18 2024 https:\/\/www.bps.org.uk\/guideline\/clinical-psychology-leadership-development-framework."},{"key":"e_1_2_16_12_1","unstructured":"British Psychological Society.Standards for the Accreditation of Doctoral Programmes in Clinical Psychology accessed December 18 2024 Draft Accreditation Standards\u2014Committee on Training in Clinical Psychology."},{"key":"e_1_2_16_13_1","doi-asserted-by":"publisher","DOI":"10.1002\/jclp.22619"},{"key":"e_1_2_16_14_1","doi-asserted-by":"publisher","DOI":"10.1002\/jclp.21882"},{"key":"e_1_2_16_15_1","doi-asserted-by":"publisher","DOI":"10.1097\/00001888-199411000-00001"},{"key":"e_1_2_16_16_1","unstructured":"H.Frith J.Iles andM.John \u201c\u2018It's Breaking Those Barriers Down\u2019: Un\/Learning How to be Clinical Psychologists in the UK Through Community\u2010Based Placements Serving Homeless Populations.\u201d"},{"key":"e_1_2_16_17_1","doi-asserted-by":"publisher","DOI":"10.1007\/978-3-319-69909-7_3470-2"},{"key":"e_1_2_16_18_1","unstructured":"J.Iles W.Matofsky H.Frith andM.John. \u201cDeveloping Placements for Clinical Psychology Trainees Within Organisations Supporting People Experiencing Homelessness: Challenges and Opportunities.\u201d"},{"key":"e_1_2_16_19_1","doi-asserted-by":"publisher","DOI":"10.1037\/ser0000846"},{"key":"e_1_2_16_20_1","doi-asserted-by":"publisher","DOI":"10.1108\/HCS-02-2018-0004"},{"key":"e_1_2_16_21_1","unstructured":"N.Maguire R.Johnson P.Vostanis andH.Keats.2010.Meeting the Psychological and Emotional Needs of Homeless People accessed December 18 2024 https:\/\/eprints.soton.ac.uk\/187695\/1\/meeting-the-psychological-and-emotional-needs-of-people-who-are-homeless.pdf."},{"key":"e_1_2_16_22_1","doi-asserted-by":"publisher","DOI":"10.1111\/hex.14121"},{"key":"e_1_2_16_23_1","first-page":"199","volume-title":"Adult and Continuing Education: Teaching, Learning and Research","author":"Mezirow J.","year":"2003"},{"key":"e_1_2_16_24_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijnss.2019.12.006"}],"container-title":["Health 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