Is it worth the effort?

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Science  20 Mar 2020:
Vol. 367, Issue 6484, pp. 1300-1301
DOI: 10.1126/science.abb0265

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  • RE: Motivation

    Maslow characterized the inability to move along the hierarchy of needs as neurosis. From the perspective of health promotion, similar to a non-pharmacological intervention, what can we offer the individual experiencing homelessness in lieu of housing?

    Nickasch and Marnocha (2009) attribute lack of effort in individuals experiencing homelessness to external locus of control. Interestingly, the National Health Care for Homeless clinical practice guidelines advocate making elimination of health disparities a clinical goal as a standard of care. (Bonin, et al., 2010).

    Hence, the challenge of eliminating health disparities in a population that is characterized as having an external locus of control.

    So, for example, when treating an individual experiencing homelessness for diabetes, remember that the National Academy of Sciences recognized that supportive housing was conceptualized for those individuals whose health depends on stable housing. (Davis, 2018).

    Sometimes, the giver of care has to model the behavior to be demonstrated by the recipient of care. Yes, it is worth the effort.

    Hopefully, I have not taken out of context the pith and marrow of the neuroscience perspective that I am responding to with this peer review eLetter.


    Bonin E, Brehove T, Carlson C, Downing M, Hoeft J, Kalinowski A, Solomon-Bame J, Post P. (2010). Adapting Your Practice: General Recommendations for the Care of Homeless Pa...

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    Competing Interests: None declared.

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