Paths and challenges of intersectoriality in public policies for homeless people: Brazilian perspectives in dialogue with international experiences

Pereira, Caroline dos Santos; Marcondes, Willer Baumgarten; Njaine, Kathie

doi:10.1590/S0103-73312025350411pt

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DOSSIER • Physis 35 (4) • 2025 • https://doi.org/10.1590/S0103-73312025350411en linkcopy

Paths and challenges of intersectoriality in public policies for homeless people: Brazilian perspectives in dialogue with international experiences

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Abstract

Given the growing number of homeless individuals and the challenges in accessing public services, intersectorality emerges as a strategy to address this complex phenomenon. Our study systematically mapped the production of knowledge, with national and international literature, on intersectoral public policies for homeless people. A scoping review was carried out as recommended by the Joanna Briggs Institute Reviewer's Manual for Scoping Reviews and PRISMA-ScR. Thirty studies were selected. Two empirical categories were constructed, Public Policies and Intersectoral Actions. Brazilian studies emphasized actions related to care and health, while international studies focus on housing and health. Furthermore, the studies underscore weaknesses in implementation and professional practices.

Keywords:
Homeless; Intersectoral action; Public policy; Racism; Human rights

Databases	Search strategy	Search Results
Lilacs (via BVS)	("Ações Integradas de Saúde" OR intersetor* OR program* OR intervention* OR service* OR treatment* OR therap* OR activit* OR outreach OR "intersectoral collaboration" OR "intersectoral action" OR "intersectoral") AND ("Políticas públicas" OR "Proteção social" OR "Política social" OR "Políticas sociais" OR "Public Policy" OR "public policies" OR "social protection" OR "social policy") AND ("falta de moradia" OR "pessoas em situação de rua" OR "População em situação de rua" OR "Morador de rua" OR "Sem teto" OR "Moradores de rua" OR "Homeless Persons" OR homeless OR "homeless people" OR homelessness OR houseless OR shelter* OR "street-involved" OR "street-connected") AND ( fulltext:("1" OR "1" OR "1" OR "1") AND db:("LILACS") AND la:("pt" OR "es" OR "en")) AND (year_cluster:[2009 TO 2024])	344
PubMed	(intersetor* OR program* OR intervention* OR service* OR treatment* OR therap* OR activit* OR outreach OR "intersectoral collaboration" OR "intersectoral action" OR "intersectoral") AND ("Políticas públicas" OR "Proteção social" OR "Política social" OR "Políticas sociais" OR "Public Policy" OR "public policies" OR "social protection" OR "social policy") AND ("Homeless Persons" OR homeless OR "homeless people" OR homelessness OR houseless OR shelter* OR "street-involved" OR "street-connected")	316
Scopus	( TITLE-ABS-KEY ( "Ações Integradas de Saúde" OR intersetor* OR program* OR intervention* OR service* OR treatment* OR therap* OR activit* OR outreach OR "intersectoral collaboration" OR "intersectoral action" OR "intersectoral" ) AND TITLE-ABS-KEY ( "Políticas públicas" OR "Proteção social" OR "Política social" OR "Políticas sociais" OR "Public Policy" OR "public policies" OR "social protection" OR "social policy" ) AND TITLE-ABS-KEY ( "falta de moradia" OR "pessoas em situação de rua" OR "População em situação de rua" OR "Morador de rua" OR "Sem teto" OR "Moradores de rua" OR "Homeless Persons" OR homeless OR "homeless people" OR homelessness OR houseless OR shelter* OR "street-involved" OR "street-connected" ) ) AND PUBYEAR > 2008 AND PUBYEAR < 2025 AND ( LIMIT-TO ( LANGUAGE , "English" ) OR LIMIT-TO ( LANGUAGE , "Portuguese" ) OR LIMIT-TO ( LANGUAGE , "Spanish" ) )	528
Web of Science (through Portal of Journals)	("Ações Integradas de Saúde" OR intersetor* OR program* OR intervention* OR service* OR treatment* OR therap* OR activit* OR outreach OR "intersectoral collaboration" OR "intersectoral action" OR "intersectoral") AND ("Políticas públicas" OR "Proteção social" OR "Política social" OR "Políticas sociais" OR "Public Policy" OR "public policies" OR "social protection" OR "social policy") AND ("falta de moradia" OR "pessoas em situação de rua" OR "População em situação de rua" OR "Morador de rua" OR "Sem teto" OR "Moradores de rua" OR "Homeless Persons" OR homeless OR "homeless people" OR homelessness OR houseless OR shelter* OR "street-involved" OR "street-connected")	761
SciELO	("Ações Integradas de Saúde" OR intersetor* OR program* OR intervention* OR service* OR treatment* OR therap* OR activit* OR outreach OR "intersectoral collaboration" OR "intersectoral action" OR "intersectoral") AND ("Políticas públicas" OR "Proteção social" OR "Política social" OR "Políticas sociais" OR "Public Policy" OR "public policies" OR "social protection" OR "social policy") AND ("falta de moradia" OR "pessoas em situação de rua" OR "População em situação de rua" OR "Morador de rua" OR "Sem teto" OR "Moradores de rua" OR "Homeless Persons" OR homeless OR "homeless people" OR homelessness OR houseless OR shelter* OR "street-involved" OR "street-connected")	89
Oasis	("Ações Integradas de Saúde" OR intersetor* OR program* OR intervention* OR service* OR treatment* OR therap* OR activit* OR outreach OR "intersectoral collaboration" OR "intersectoral action" OR "intersectoral") AND ("Políticas públicas" OR "Proteção social" OR "Política social" OR "Políticas sociais" OR "Public Policy" OR "public policies" OR "social protection" OR "social policy") AND ("falta de moradia" OR "pessoas em situação de rua" OR "População em situação de rua" OR "Morador de rua" OR "Sem teto" OR "Moradores de rua" OR "Homeless Persons" OR homeless OR "homeless people" OR homelessness OR houseless OR shelter* OR "street-involved" OR "street-connected")	157
Medline (via BVS)	Search (intersetor* OR program* OR intervention* OR service* OR treatment* OR therap* OR activit* OR outreach OR "intersectoral collaboration" OR "intersectoral action" OR "intersectoral") AND ("Políticas públicas" OR "Proteção social" OR "Política social" OR "Políticas sociais" OR "Public Policy" OR "public policies" OR "social protection" OR "social policy") AND ("Homeless Persons" OR homeless OR "homeless people" OR homelessness OR houseless OR shelter* OR "street-involved" OR "street-connected")	724
Socindex (through EBSCOhost)	("Ações Integradas de Saúde" OR intersetor* OR program* OR intervention* OR service* OR treatment* OR therap* OR activit* OR outreach OR "intersectoral collaboration" OR "intersectoral action" OR "intersectoral") AND ("Políticas públicas" OR "Proteção social" OR "Política social" OR "Políticas sociais" OR "Public Policy" OR "public policies" OR "social protection" OR "social policy") AND ("falta de moradia" OR "pessoas em situação de rua" OR "População em situação de rua" OR "Morador de rua" OR "Sem teto" OR "Moradores de rua" OR "Homeless Persons" OR homeless OR "homeless people" OR homelessness OR houseless OR shelter* OR "street-involved" OR "street-connected")	160

Authors	Year	Journal	Knowledge area*	Language	Study site
Adorno	2011	Etnográfica	Anthropology/Archaeology	Portuguese	São Paulo, Brazil
Anderson; Ytrehus	2012	Journal of Social Policy	Interdisciplinary	English	Norway, Scotland
Batchelor; Kingsland	2020	International Journal of Environmental Research and Public Health	Public Health	English	England
Borysow; Conill; Furtado	2017	Ciência e Saúde Coletiva	Public Health	English	Brazil, Portugal, and the USA
Cabral Junior; Costa	2016	Revista Brasileira Políticas Públicas (Online)	Law	Portuguese	Brazil
Cameron et al.	2009	Health and Social Care in the Community	Medicine I	English	England
Canato; Bichir	2021	Revista de Administração Pública	Public and Business Administration, Accounting, and Tourism	Portuguese	São Paulo, Brazil
Che et al.	2020	Health & Social Care in the Community	Medicine I	English	South Korea
Gomes; Elias	2016	Revista Comunicação em Ciências da Saúde	Nursing	Portuguese	Brazil
Greenwood et al.	2021	Journal of Community & Applied Social Psychology	Psychology	English	France, Ireland, Italy, Poland, Spain, Switzerland, and the Netherlands
Greenwood et al.	2013	Journal of Social Issues	Social Sciences	English	United States
Hamada et al.	2018	Revista De APS - Atenção Primária À Saúde	Public Health	Portuguese	Brazil
Hwang; Burns	2014	Lancet	Public Health	English	United States
Kertesz et al.	2009	Milbank Quartely	Medicine	English	United States
Kriel	2017	Development Southern Africa	Social Sciences	English	Tshwane, South Africa
Macedo et al.	2020	Revista Psicologia e Saúde	Psychology	Portuguese	Teresina, Brazil
Martinelli et al.	2020	Textos & Contextos	Social Work	Portuguese	Brazil
Martins et al.	2023	Ciência e Saúde Coletiva	Public Health	Portuguese	Brazil
Martins et al.	2024	Frontiers in Public Health	Public Health	English	Belo Horizonte, Brazil
Mattos	2019	NOMOS: Revista do Programa de Pós-Graduação em Direito da UFC	Law	Portuguese	Brazil
Medeiros et al.	2020	Psicologia em estudo	Psychology	Portuguese	Argentina, Brazil, Chile, Colombia, and Cuba
Moledina et al.	2022	Campbell Systematic Reviews	Social Sciences	English	Canada
Naidoo	2010	Development Southern Africa	Social Sciences	English	South Africa
O'Carroll et al.	2021	International Journal of Drug Policy	Public Health	English	Dublin, Irlanda
Oliveira; Guizardi	2020	Saúde e Sociedade	Public Health	Portuguese	Distrito Federal, Brazil
Oliveira et al.	2015	Argumentum	Social Work	Portuguese	Florianópolis, Brazil
Parsell et al.	2013	International Journal Of Social Welfare	Social Sciences	English	Australia
Rubio-Martin	2018	Cuadernos De Trabajo Social	Social Work	English	Spain
Serafino; Luz	2015	Revista Katálysis	Public Health	Portuguese	Rio de Janeiro, Brazil
Wijk;. Mângia	2017	Saúde em Debate	Anthropology/Archaeology	English	São Paulo, Brazil

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