TOWARDS SELF-ACTUALISATION: A REHABILITATION PROGRAM MODEL FOR HOMELESSNESS IN KUALA LUMPUR
DOI:
https://doi.org/10.21837/pm.v23i39.1901Keywords:
homelessness, rehabilitation, temporary shelter, self-actualisation, charity model vs. co-production model, transition needsAbstract
Homelessness in Kuala Lumpur remains visible despite numerous supports and initiatives from governments and NGOs. Current rehabilitation programs are providing short-term relief, but how can these models help the homeless achieve self-actualisation? The objectives are to explore how current rehabilitation programs address the various needs of the homeless and to identify the gap between the charity model and the co-production model in providing a long-term, integrated approach. Adopting Maslow’s hierarchy of needs theory as a guide, this study examines the rehabilitation needs of homeless individuals in transit centres around Kuala Lumpur. Data were collected through semi-structured interviews, field observations and document analysis for a qualitative method. Results from this study indicated that to achieve self-actualisation, rehabilitation should reintegrate basic needs, psychological needs, self-fulfilment needs, and transition needs. The charity model, which emphasises short-term relief but offers limited long-term impact, and the co-production model, which promotes empowerment and long-term outcomes, are the two programs that support the homeless journey towards self-actualisation. This paper proposes a hybrid rehabilitation model that integrates two existing programs and additional structured pathways, aiming to provide continuous support in shaping a more inclusive policy and enhancing rehabilitation practices in reducing homelessness in Kuala Lumpur.
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Aizuddin, A. N., Abdul Jabar, S. W., & Idris, I. B. (2019). Factors associated with health services financier among temporary sheltered homeless in urban Malaysia. BMC Public Health, 19(Suppl. 4), 548. https://doi.org/10.1186/s12889-019-6871-5
Amir, A. R., Ayob, Z., Shukor, F. S. A., & Saari, M. F. (2024). The influence of urban street furniture towards homeless in Kuala Lumpur, Malaysia. Planning Malaysia, 22.
Badrudin, I. S., Zyed, Z. A. S., & Tedong, P. A. (2022). Preliminary housing continuum model framework for young households in greater Kuala Lumpur. Planning Malaysia, 20.
Canadian Mental Health Association. (2012). Meaning of mental health. http://www.cmha.ca/mental_health/meaning-of-mental-health/
Castaldelli-Maia, J. M., Ventriglio, A., & Bhugra, D. (2022). Homelessness and mental health. In Oxford textbook of social psychiatry (pp. 301–308). https://doi.org/10.1093/med/9780198861478.003.0032
Chan, V., Estrella, M. J., Baddeliyanage, R., Shah, R., Babineau, J., & Colantonio, A. (2022). Rehabilitation among individuals experiencing homelessness and traumatic brain injury: A scoping review. Frontiers in Medicine, 9, Article 916602.
Chasciar, D. R., Chasciar, V., Coman, C., Toderici, O. F., Toader, L., Kovacs, A., & Bularca, M. C. (2025). Determinants of post-penitentiary social reintegration: Analysis of the needs and perceptions of persons released from detention in Romania. Frontiers in Psychology, 16, Article 1484889.
Cornes, M., Aldridge, R. W., Biswell, E., Byng, R., Clark, M., Foster, G., … & Whiteford, M. (2021). Improving care transfers for homeless patients after hospital discharge: A realist evaluation. Health Services and Delivery Research, 9(17), 1–186.
Dunbar, R. I. M. (1992). Neocortex size as a constraint on group size in primates. Journal of Human Evolution, 20, 469–493.
Erbaş, M. M. (2023). Adlerian therapy: A general review. International Journal of Innovative Approaches in Psychology, 2, 45–52.
Gutman, S. A., & Raphael-Greenfield, E. I. (2017). Effectiveness of a supportive housing program for homeless adults with mental illness and substance use: A two-group controlled trial. British Journal of Occupational Therapy, 80(5), 286–293.
Hisham, N. N., & Amin, N. D. M. (2023). Designing for homeless in Kuala Lumpur: Concepts and case studies. International Journal of Integrated Engineering, 15(6). https://doi.org/10.30880/ijie.2023.15.06.029
Huber, M. A., Brown, L. D., Metze, R. N., Stam, M., Van Regenmortel, T., & Abma, T. N. (2020). Exploring empowerment of participants and peer workers in a self-managed homeless shelter. Journal of Social Work.
Keenan, C., Miller, S., Hanratty, J., Pigott, T., Hamilton, J., Coughlan, C., … & Cowman, J. (2021). Accommodation-based interventions for individuals experiencing, or at risk of experiencing, homelessness. Campbell Systematic Reviews, 17(2), Article e1165. https://doi.org/10.1002/cl2.1165
Lam, J., Hurwitz, M., Ngankam, D. A., & Leland, N. E. (2024). Interdisciplinary rehabilitation for the transition out of homelessness with a traumatic brain injury. BMJ Case Reports, 17(12), Article e262462. https://doi.org/10.1136/bcr-2024-262462
Levasseur, M., Lussier-Therrien, M., Biron, M. L., Raymond, É., Castonguay, J., Naud, D., … & Tremblay, L. (2022). Scoping study of definitions of social participation: Update and co-construction of an interdisciplinary consensual definition. Age and Ageing, 51(2), Article afab215. https://doi.org/10.1093/ageing/afab215
Linn, L. S., & Gelberg, L. (1989). Priority of basic needs among homeless adults. Social Psychiatry and Psychiatric Epidemiology, 24, 23–29. https://doi.org/10.1007/BF01788196
Lio, G., Ghazzai, M., Haesebaert, F., Dubreucq, J., Verdoux, H., Quiles, C., … & Demily, C. (2022). Actionable predictive factors of homelessness in a psychiatric population: Results from the REHABase cohort using machine learning approach. International Journal of Environmental Research and Public Health, 19(19), Article 12268.
Maslow, A. H. (1943). A theory of human motivation. Psychological Review, 50(4).
Maslow, A. H. (1970). Motivation and personality (Rev. ed.). Harper & Row.
Mejia-Lancheros, C., Lachaud, J., Stergiopoulos, V., Matheson, F. I., Nisenbaum, R., O’Campo, P., & Hwang, S. W. (2020). Effect of Housing First on violence-related traumatic brain injury in adults with experiences of homelessness and mental illness: Findings from the At Home/Chez Soi randomised trial, Toronto site. BMJ Open, 10(12), Article e038443.
Omérov, P., Craftman, Å. G., Mattsson, E., & Klarare, A. (2019). Homeless persons' experiences of health- and social care: A systematic integrative review. Health & Social Care in the Community, 28(1), 1–11. https://doi.org/10.1111/hsc.12857
Park, S. (2020). Beyond patient-centred care: A conceptual framework of co-production mechanisms with vulnerable groups in health and social service settings. Public Management Review, 22(3), 452–474.
Scott, T., Masser, B. M., & Pachana, N. A. (2020). Positive aging benefits of home and community gardening activities: Older adults report enhanced self-esteem, productive endeavours, social engagement and exercise. SAGE Open Medicine, 8. https://doi.org/10.1177/2050312120901732
Sprake, E. F., Russell, J., & Barker, M. E. (2013). Food choice and nutrient intake amongst homeless people. Journal of Human Nutrition and Dietetics, 27(3), 242–250. https://doi.org/10.1111/jhn.12130
Sundin, E. C., Mrowiec, A., Bowpitt, G., Boatman, C. A., Williams, A. J., Sarkar, M., & Baguley, T. S. (2020). Feasibility and acceptability of an intervention for enhancing reintegration in adults with experience of homelessness. European Journal of Public Health, 30(3), 578–583.
Thamrin, H., Singh, P. S. J., Yahaya, M. H., Ridho, H., Hanim, F., Saragih, I. D., & Lubis, F. W. (2025). Physical activity as a catalyst for the reintegration of homeless individuals: A qualitative study from Medan and Penang shelters. Retos, 69, 1004–1015.
Tsemberis, S. (2010). Housing First: Ending homelessness, promoting recovery and reducing costs. In How to house the homeless (pp. 37–56).
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