A Narrative Approach to the Evaluation of Supportive Housing: Stories of Homeless People Who Have Experienced Serious Mental Illness.

Nelson, Geoffrey; Clarke, Juanne N.; Febbraro, Angela R.; Hatzipantelis, Maria

doi:10.2975/29.2005.98.104

Cited by 32 publications

(31 citation statements)

References 10 publications

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“…(Eyrich & Pollio, 2003; Hwang et al, 2009; Nelson, Clarke, Febbraro, & Hatzipantelis, 2005) Rather, our findings are reminiscent of the multi-dimensional relationships between social support and physical/mental health; (Veiel, 1985) the quality and depth of supports, and by whom they are offered—and in what settings—influences health in different ways. Here, we suggest similar dimensionalities in the interactions between supports and housing status.…”

Section: Discussionmentioning

confidence: 91%

Social support and housing transitions among homeless adults with serious mental illness and substance use disorders.

Gabrielian¹,

Young²,

Greenberg³

et al. 2018

Psychiatric Rehabilitation Journal

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Objective Research suggests that social supports are associated with housing retention among adults who have experienced homelessness. Yet, we know very little about the social support context in consumers find and retain housing. We examined the ways and identified the junctures in which consumers' skills and deficits in accessing and mobilizing social supports influenced their longitudinal housing status. Methods We performed semi-structured qualitative interviews with VA Greater Los Angeles consumers (n=19) with serious mental illness (SMI), substance use disorders (SUD), and a history of homelessness; interviews explored associations between longitudinal housing status (categorized as: stable, independent housing; sheltered housing, continually engaged in structured housing programs; and unstable housing) and social supports. We compared data from consumers in these three mutually exclusive categories. Results All participants described social support as important for finding and maintaining housing. However, participants used formal (provider/case managers) and informal (family/friends) supports in different ways. Participants in stable housing relied on formal and informal supports to obtain/maintain housing. Participants in sheltered housing primarily used formal supports, e.g., case management staff. Unstably housed participants used formal and informal supports, but some of these relationships were superficial or of negative valence. Interpersonal problems were prevalent across longitudinal housing status categories. Conclusions and Implications for Practice Social context, including patterns of formal and informal support, was associated with participants' longitudinal housing status. Within interventions to end homelessness, these findings suggest the value of future research to identify, tailor, and implement practices that can help consumers improve their social resources.

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Section: Discussionmentioning

confidence: 91%

Social support and housing transitions among homeless adults with serious mental illness and substance use disorders.

Gabrielian¹,

Young²,

Greenberg³

et al. 2018

Psychiatric Rehabilitation Journal

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“…However, being in supported accommodation sometimes created an opportunity to re‐establish family relationships (Henwood et al., ; Kirst et al., ; Nelson et al., ). A stable housing environment provided a safe space for family interactions and alleviated the shame associated with homelessness (Kirkpatrick & Byrne, ; Nelson et al., ).…”

Section: Resultsmentioning

confidence: 99%

Service user experiences of specialist mental health supported accommodation: A systematic review of qualitative studies and narrative synthesis

Krotofil¹,

McPherson²,

Killaspy³

2018

Health Soc Care Community

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Specialist supported accommodation services have become a key component of most community-based mental healthcare systems. While mental health policies highlight the importance of service user involvement in service development and care planning, there are no comprehensive literature reviews synthesising services users' perspectives on, or experiences of, supported accommodation services. This systematic review was undertaken to fill this gap. We searched electronic databases (January 2015, updated June 2017), conducted hand searches and used forward-backward snowballing to identify 13,678 papers. We inspected the full-text of 110 papers and included 50 of these in the final review. Data extraction and quality assessments were conducted. We used narrative synthesis to develop a conceptual model of service users' experiences that included structural, process, relational and contextual factors, such as the characteristics of the service, relationships with staff and other service users, the intensity and nature of support, the physical environment, and social and community integration. The review highlights the complex interplay of individual, service-level and community factors in shaping the lived experience of service users and their impact on personal identity and recovery. Our approach addressed some of the widely reported limitations of the quantitative research in this field, providing a conceptual model relevant to service user experiences across supported accommodation service types, population groups and countries.

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“…Lack of privacy is predictive of negative affect, particularly in congregate living situations (Nelson et al 1998a, b;Parkinson et al 1999). Safety is an important aspect of housing that has been identified in qualitative research (Forchuk et al 2006;Nelson et al 2005a;Yanos et al 2004). When consumers do not have enough privacy or the physical quality of the residence is lacking (e.g., there are no locks on doors), they feel that their physical and psychological safety is threatened.…”

Section: Qualitymentioning

confidence: 95%

Housing for People with Serious Mental Illness: A Comparison of Values and Research

Sylvestre

Nelson

Sabloff³

et al. 2007

American J of Comm Psychol

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This article contrasts values associated with the delivery of housing programs for people with serious mental illness with the typical topics pertaining to housing that are studied by researchers. Six values were identified through a search and content analysis of the literature on housing for people with serious mental illness. A second review of the literature was conducted to identify research on housing for this population. A comparison of findings from the two reviews suggested that whereas values concerned with the therapeutic benefits of housing had received considerable research attention, those concerned with a citizenship dimension had received relatively little. The findings are discussed in terms of their implications for the delivery of housing services and for housing research.

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A Narrative Approach to the Evaluation of Supportive Housing: Stories of Homeless People Who Have Experienced Serious Mental Illness.

Cited by 32 publications

References 10 publications

Social support and housing transitions among homeless adults with serious mental illness and substance use disorders.

Social support and housing transitions among homeless adults with serious mental illness and substance use disorders.

Service user experiences of specialist mental health supported accommodation: A systematic review of qualitative studies and narrative synthesis

Housing for People with Serious Mental Illness: A Comparison of Values and Research

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