Recovery capital in the context of homelessness, high levels of alcohol consumption, and adverse significant life events

Ross-Houle, Kim; Porcellato, Lorna

doi:10.1080/09687637.2021.2014402

Cited by 4 publications

(6 citation statements)

References 59 publications

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“…Our findings suggest that, especially for complex cases, the convergence between several different NRC factors (for example patient characteristics, housing, and care) can have serious consequences and should, therefore, be explored in more detail. Our data also imply that, for our complex cases, the (N)RC domains are not static, show reciprocal effects [ 10 ], and are influenced by critical life events that may serve as a catalyst [ 27 ]. Indeed, throughout the life trajectories of these three cases with a triple diagnosis, we observed how, at vital moments, and through the interaction between life events and (N)RC domains, recovery processes gained momentum—or lost their bearing.…”

Section: Discussionmentioning

confidence: 77%

“…These compelling effects of social ties and support of recovery are also extensively described in the literature [ 25 , 26 ]. For example, being responsible for children and maintaining ties with family and friends were identified as strong motivators for abstinence—also in marginalized, complex populations [ 27 ]. Social support was also related to recovery, abstinence, and treatment retention [ 26 ].…”

Section: Discussionmentioning

confidence: 99%

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Using the Recovery Capital Model to Explore Barriers to and Facilitators of Recovery in Individuals with Substance Use Disorder, Psychiatric Comorbidity and Mild-to-Borderline Intellectual Disability: A Case Series

Pars,

VanDerNagel,

Dijkstra

et al. 2023

JCM

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Recovery capital (RC) encompasses the wide range of resources individuals can employ to recover from Substance Use Disorder (SUD). It consists of five subdomains: human, social, cultural, financial, and community RC. Negative recovery capital (NRC) represents the obstacles to recovery. Research on (N)RC in complex multimorbid populations is scarce. This study offers an initial exploration of the viability of (N)RC in three individuals with SUD, psychiatric comorbidities, and an intellectual disability (a triple diagnosis) in inpatient addiction treatment. We collected case file data, ranked recovery goals, and conducted follow-up interviews. The data were subjected to template analysis, using (N)RC domains as codes. All domains were prevalent and relevant, showing dynamic and reciprocal effects, influenced by critical life events acting as catalysts. Notably, during treatment, patients prioritized individual skill development despite challenges in other domains. RC emerges as a valuable concept for mapping recovery barriers and facilitators in individuals with a triple diagnosis, serving as an alternative to the medical model and complementing the biopsychosocial model. It provides a systematic framework to assess critical factors for recovery in complex cases and accordingly align interventions. Future studies should explore the intersections of NRC domains and the dynamic nature of (N)RC to enhance the understanding of the challenges faced by individuals with a triple diagnosis.

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Section: Discussionmentioning

confidence: 77%

Section: Discussionmentioning

confidence: 99%

Using the Recovery Capital Model to Explore Barriers to and Facilitators of Recovery in Individuals with Substance Use Disorder, Psychiatric Comorbidity and Mild-to-Borderline Intellectual Disability: A Case Series

Pars,

VanDerNagel,

Dijkstra

et al. 2023

JCM

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“…This study was conceptually informed by recovery capital theory, which originated as a model of substance use recovery and emphasizes the personal, social, and contextual resources an individual may draw upon to overcome addiction (Cloud & Granfield, 2001). The model has expanded over the years and has been applied to better understand many complex issues such as mental health, trauma, homelessness, and criminal justice involvement (Cloud & Granfield, 2008;Hennessy, 2017;Ross-Houle & Porcellato, 2021). It has recently been applied in research with justice-involved youth with FASD as an important strengths-based model for understanding the experiences of this population (Hamilton et al, 2020).…”

Section: Conceptual Frameworkmentioning

confidence: 99%

Client Perceptions of an FASD-Informed Indigenous Restorative Justice Program

Flannigan,

Rollans,

Tremblay

et al. 2023

iipj

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Individuals with fetal alcohol spectrum disorder (FASD) can experience multiple layers of adversity that increase vulnerability to justice involvement. Given the systemic overrepresentation of Indigenous Peoples in the justice system, community-based interventions are important for supporting Indigenous individuals with FASD who are justice-involved, yet little is known about individual experiences with such interventions. In this community-based study, we conducted interviews with 12 adults in an FASD-informed Indigenous justice program, revealing stories of coping, growth, and hope. Findings suggest that blending FASD assessment with restorative justice approaches can contribute to physical, human, family/social, and community/cultural resources that support wellbeing. We describe tangible strengths and processes to leverage in practice and policy for supporting justice-involved individuals with FASD across settings and communities.

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“…11 Lack of supportive social relationships sometimes contributes to the 'institutional circuit,' with some people experiencing homelessness cycling among shelters, correctional facilities, and healthcare institutions. 3,5,[13][14][15] The emergency department (ED) is a common stop on this circuit, especially for those who have a substance use disorder or other medical needs. 13,16,17 Housing instability is common among ED patients, with studies finding a reported prevalence of 18.1%-43.8%.…”

Section: Introductionmentioning

confidence: 99%

“…Homelessness and substance use have a well-known bidirectional relationship, with substance use noted as both a cause and consequence of homelessness. [1][2][3][4][5] Previous studies of homelessness and substance use have been largely quantitative, finding, for example, prevalence of variably defined substance use among people experiencing homelessness ranging from 4.5% to 58.5%, as compared to an estimated substance use disorder prevalence of 7.7% in the general population. 6,7 Prior qualitative studies of people experiencing homelessness have emphasized the salience of social relationships, with many citing depleted social networks.…”

Section: Introductionmentioning

confidence: 99%

Social Relationships, Homelessness, and Substance use among Emergency Department Patients

Jurewicz

Padgett²,

Ran³

et al. 2022

Substance Abuse

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Background: Emergency department (ED) patients commonly experience both substance use and homelessness, and social relationships impact each in varied ways not fully captured by existing quantitative research. This qualitative study examines how social relationships can precipitate or ameliorate homelessness and the connection (if any) between substance use and social relationships among ED patients experiencing homelessness. Methods: As part of a broader study to develop ED-based homelessness prevention interventions, we conducted in-depth interviews with 25 ED patients who used alcohol or drugs and had recently become homeless. We asked patients about the relationship between their substance use and homelessness. Interviews were recorded, transcribed, and coded line-by-line by investigators. Final codes formed the basis for thematic analysis through consensus discussions. Results: Social relationships emerged as focal points for understanding the four major themes related to the intersection of homelessness and substance use: (1) Substance use can create strain in relationships; (2) Help is there until it's not; (3) Social relationships can create challenges contributing to substance use; and (4) Reciprocal relationship of substance use and isolation. Sub-themes were also identified and described. Conclusions: The association between substance use and homelessness is multifaceted and social relationships are a complex factor linking the two. Social relationships are often critical for homelessness prevention, but they are impacted by and reciprocally affect substance use. ED-based substance use interventions should consider the high prevalence of homelessness and the impact of social relationships on the interaction between homelessness and substance use.

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Recovery capital in the context of homelessness, high levels of alcohol consumption, and adverse significant life events

Cited by 4 publications

References 59 publications

Using the Recovery Capital Model to Explore Barriers to and Facilitators of Recovery in Individuals with Substance Use Disorder, Psychiatric Comorbidity and Mild-to-Borderline Intellectual Disability: A Case Series

Using the Recovery Capital Model to Explore Barriers to and Facilitators of Recovery in Individuals with Substance Use Disorder, Psychiatric Comorbidity and Mild-to-Borderline Intellectual Disability: A Case Series

Client Perceptions of an FASD-Informed Indigenous Restorative Justice Program

Social Relationships, Homelessness, and Substance use among Emergency Department Patients

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