Social and recovery capital amongst homeless hostel residents who use drugs and alcohol

Neale, Joanne; Stevenson, Caral

doi:10.1016/j.drugpo.2014.09.012

Cited by 69 publications

(47 citation statements)

References 43 publications

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“…Once homeless, individuals have trouble forming connections that meet their social needs (Neale & Brown, ). Although networks develop between homeless people, these are often small (Gray, Shaffer, Nelson, & Shaffer, ; Neale & Stevenson, ) and marked by forced conviviality (Snow & Anderson, ), indicating relationships may lack depth necessary to foster belonging. Furthermore, homelessness itself is a distressing and—some have argued—traumatic experience that may result in distrust and disconnection with others (Goodman, Saxe, & Harvey, ; Johnson & Chamberlain, ) potentially undermining development of connections during homelessness.…”

Section: Introductionmentioning

confidence: 99%

Australian homeless persons’ experiences of social connectedness, isolation and loneliness

Bower

Conroy

Perz

2017

Health Soc Care Community

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Both loneliness and a lack of social integration are associated with serious physical and psychological health issues. One population highly susceptible to social isolation and loneliness are individuals who are homeless, who also experience high rates of mental disorder and relationship breakdown. Despite this, little research has explored how social networks, isolation and loneliness are experienced for those with a history of homelessness. In-depth, semi-structured interviews were used to get a nuanced understanding of how social networks and isolation are experienced and understood by individuals experiencing homelessness. Sixteen participants who were either homeless (n = 11) or previously homeless (n = 5) in Sydney, Australia, completed one-off interviews that were audio-recorded and transcribed. Data were analysed using thematic analysis. Participants constructed their social networks as being both constrained and enabled by marginalisation. They experienced rejection from the non-homeless: the loss of critical network members, including rejection from family and a lack of companionship, and low quality and precarious relationships within the homeless community. These accounts were best conceptualised through loneliness theory. Participant's accounts signal that the homeless will likely continue feeling isolated if mainstream attitudes towards homelessness remain stigmatising and discriminatory.

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Section: Introductionmentioning

confidence: 99%

Australian homeless persons’ experiences of social connectedness, isolation and loneliness

Bower

Conroy

Perz

2017

Health Soc Care Community

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“…Second, the familiar atmosphere at the medical respite care centre created a safe environment, which enabled more focus on recovery. These findings are supported by a study from the UK that found relations to family, social workers and other hostel residents to boost the social and recovery capital among homeless people (Neale & Stevenson, ). Nevertheless, Neale et al.…”

Section: Discussionmentioning

confidence: 55%

Homeless people's experiences of medical respite care following acute hospitalisation in Denmark

Pedersen

Bring

Brünés

et al. 2018

Health Soc Care Community

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The aim of this study was to explore homeless people's health perspectives and experiences of a 2-week medical respite care programme following acute hospitalisation. There is a high level of health inequality when comparing the health status of homeless people to the general population, including increased mortality and morbidity. Homelessness predisposes an increased risk of infectious disease, cancer and chronic illness, such as diabetes and cardiovascular disease. Moreover, homeless people have a higher frequency of acute hospitalisation than general population estimates. In order to facilitate the transition from hospitalisation back to life on the streets, homeless people who were acutely hospitalised in the Capital Region of Denmark were offered 2 weeks of medical respite care from the day of discharge by a non-governmental organisation. This is a qualitative study with a phenomenological hermeneutical approach based on narrative interviews of 12 homeless people who received medical respite care from 1 March 2016 to 30 September 2016. Data were collected through individual semi-structured interviews and analysed according to Lindseth and Norberg's presentation of Paul Ricoeur's theory of interpretation. The analysis identified four themes: (i) basic needs are of highest priority; (ii) a safe environment provides security and comfort; (ii) social support is just as important as healthcare; and (iv) restitution facilitates reflection. The findings indicated that the medical respite care centre provided a place of rest and restitution following hospitalisation, which made room for self-reflection among the homeless people regarding their past and present life, and also their wishes for a better future. This study also indicates that a medical respite care stay can contribute to the creation of a temporary condition in which the basic needs of the homeless people are met, enabling them to be more hopeful and to think more positively about the future.

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“…Such support is pivotal in helping those in recovery to manage their addiction(s) and maintain abstinence (Litt et al 2009;Stevens et al 2010). It also provides emotional and practical support (Neale 2001;Neale and Stevenson 2015) and enables individuals to belong to a group, thus fostering social identity (Best et al 2010;Buckingham et al 2013;Pagano et al 2013). …”

Section: The Role Of Recovery Capitalmentioning

confidence: 99%

“…Being part of a group and fostering a social identity supports recovery (Best et al 2010;Buckingham et al 2013;Kaplan et al 2010;Pagano et al 2011Pagano et al , 2013. There is an inverse association between positive peer support networks and recovery relapse (Litt et al 2009;Moos 2008;Neale and Stevenson 2015;Panebianco et al 2016;White 2009). Peer support offers opportunities to adopt more positive social norms that can promote engagement in enjoyable non-substance-related activities, and which may override the norms of pro-drug use networks (Laudet et al 2004;Longabaugh et al 2010).…”

Section: Introductionmentioning

confidence: 99%

“…Peer support offers opportunities to adopt more positive social norms that can promote engagement in enjoyable non-substance-related activities, and which may override the norms of pro-drug use networks (Laudet et al 2004;Longabaugh et al 2010). Peers can also provide diverse forms of emotional and practical support, including financial support, childcare, and a safe place to live (Neale 2001;Neale and Stevenson 2015).…”

Section: Introductionmentioning

confidence: 99%

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Experiences of Sustainable Abstinence-Based Recovery: an Exploratory Study of Three Recovery Communities (RC) in England

Harrison

Hout

Cochrane

et al. 2018

Int J Ment Health Addiction

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Contemporary recovery-models of treatment for substance misuse prioritise community-based support systems that focus on developing individuals' strengths and quality of life. The research project aimed to explore the perceived mechanisms and processes that underpinned support in three abstinence-based recovery communities (RCs) across England. Focus groups and telephone interviews were conducted with 44 individuals. This was to identify self-prioritised outcomes for members and other key factors contributing to the delivery of an effective recovery community. Data were thematically analysed. Along with a number of other key outcomes, the achievement and maintenance of abstinence by participants was considered to be a key indicator of an effective RC. RC processes were also viewed as underpinning the development of recovery capital. The study provides an insight into the processes of RCs and highlights that development and support of recovery capital is an important aspect of service provision and delivery for those in abstinence-based recovery.

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Social and recovery capital amongst homeless hostel residents who use drugs and alcohol

Cited by 69 publications

References 43 publications

Australian homeless persons’ experiences of social connectedness, isolation and loneliness

Australian homeless persons’ experiences of social connectedness, isolation and loneliness

Homeless people's experiences of medical respite care following acute hospitalisation in Denmark

Experiences of Sustainable Abstinence-Based Recovery: an Exploratory Study of Three Recovery Communities (RC) in England

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