Shifting the Focus: A Photovoice exploration of the benefits and barriers of having a pet while experiencing homelessness.

While experiencing homelessness with a pet can present unique challenges, it can also provide physical health, mental health, and social benefits. A Photovoice project with adolescents and adults experiencing homelessness with a pet was conducted in Seattle, Washington, USA in 2018-2019 to explore the experience of homelessness with a pet, the impact of the human-animal bond on the health of each, and to drive policy changes to help support people experiencing homelessness (PEH) with pets. Twenty-five people spanning a range of age groups, genders, and living situations were recruited primarily through homeless-services providers, 19 of whom completed the study and created over 900 images. One-on-one semi-structured interviews were conducted with each participant to review printed photos. A key theme emerging from the interviews and photos was the importance and strength of the human-animal bond, providing mental and physical health benefits, and motivation for daily activities or making/maintaining positive changes. Challenges related to homelessness with a pet included barriers to access services, housing, and employment. Participants provided policy recommendations to improve support for PEH with pets. Multiple public exhibitions of images from all participants were held, reaching service providers, policy makers, and the general public. Visitor feedback included statements of positive change in attitudes towards PEH with pets among housed individuals. Collectively, the images, stories and themes deepen our understanding of homelessness with pets, leading to increased empathy and potential for policies that benefit the health of PEH and their pets.