Social networks and substance use after transitioning into permanentsupportive housing

Rhoades, Harmony; Motte‐Kerr, Wichada La; Duan, Lei; Woo, Darlene; Rice, Eric; Henwood, Benjamin F.; Harris, Taylor; Wenzel, Suzanne L.

doi:10.1016/j.drugalcdep.2018.06.027

Cited by 14 publications

(24 citation statements)

References 48 publications

(66 reference statements)

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“…Our study sample had a higher representation of females, though national literature shows most PSH residents are males (Winetrobe et al, 2017), because one of our partner sites serves only women (n = 20). The study sample demographics and other characteristics were comparable to that of PSH residents overall (Rhoades et al, 2018).…”

Section: Sample Characteristicsmentioning

confidence: 97%

Views on health activation and support services among formerly homeless adults living in Permanent Supportive Housing in the United States

Jolles

Rivera

Jacobs

et al. 2021

Health Soc Care Community

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Individuals who have experienced chronic homelessness often have unmet physical and mental health needs and experiences of trauma and stigma. This study aimed to measure, for the first time, health activation (self-advocacy and empowerment) levels among formerly homeless adults living in Permanent Supportive Housing or PSH (referred to hereafter as residents). In addition, residents' experiences accessing health services, and their sense of health activation and efforts to manage their health within PSH settings, were explored. A mixed-methods study was conducted in Southern California (October 2018-June 2019) using a validated survey and interviews with a randomly selected group of residents (n = 61) from three PSH agencies.Activation levels were measured using the Patient Activation Measure. Descriptive and univariate survey analyses were conducted. Interview data was analysed using NVivo. Two coders coded all transcripts, and team meetings were held to reach consensus. Results showed most residents were female (64%), racial and ethnic minorities (66%), on average 54-year-olds, with 37 months of PSH residency, and 43% were taking some action to manage their health (intermediate activation level). Challenges accessing care were due to breakdowns in care, unpleasant experiences with providers, low health literacy and feeling overwhelmed by co-occurring chronic conditions. Health activation related to knowing when to take care of their health on their own and when to seek care. Unique challenges emerged related to PSH, such as lack of resident control within the housing setting and limited personnel responding to health emergencies. These challenges were magnified because residents live alone, per PSH requirements.

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Section: Sample Characteristicsmentioning

confidence: 97%

Views on health activation and support services among formerly homeless adults living in Permanent Supportive Housing in the United States

Jolles

Rivera

Jacobs

et al. 2021

Health Soc Care Community

View full text Add to dashboard Cite

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“…Others have assessed social networks of HF residents from a deficit-oriented perspective. For example, Rhoades et al (2018) investigated the presence of substance users in residents' networks and its correlates with substance use.…”

Section: Social Networkmentioning

confidence: 99%

Social networks and subjective wellbeing of adults in a Housing First program

Addo

Yuma

Barrera

et al. 2021

Journal Community Psychology

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This study explored the social network properties and the correlates between social networks and subjective wellbeing of adults (N = 80) in a Housing First (HF) program. Using structured interviews, participants' social network properties were assessed. Bivariate correlations and backward multiple regression analyses were conducted to determine the association between social networks and subjective wellbeing. Findings indicate a combination of years of homelessness, years in housing, frequency of contact, intimate relationship, and perceived social support significantly predicted subjective wellbeing (F (5, 74) = 2.74, p = 0.025). While perceived social support was positively associated with subjective wellbeing, frequency of contact was negatively associated with subjective wellbeing. It is recommended that service providers develop strengths-focused perspectives of the social networks of HF residents as potential contributors to subjective wellbeing.Service providers may need to pay more attention to HF residents with frequent contacts with network members, as they may have more distress.

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“…AOD use spreads through networks [7] due to a variety of network mechanisms, such as social comparison, social sanctions and rewards, flows of information, support and resources, stress reduction, and socialization [8][9][10]. Homelessness is often precipitated by AOD use problems [11] and continued AOD use among people experiencing homelessness is influenced by continued exposure to AOD use in their social networks [12][13][14][15]. Continued AOD use impedes transitioning out of homelessness and into housing assistance, such as when AOD abstinence is a requirement for housing.…”

Section: Introductionmentioning

confidence: 99%

Restructuring personal networks with a Motivational Interviewing social network intervention to assist the transition out of homelessness: A randomized control pilot study

et al. 2022

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Background Social relationships play a key role in both substance use and homelessness. Transitioning out of homelessness often requires reduction in substance use as well as changes in social networks. A social network-based behavior change intervention that targets changes personal social networks may assist the transition out of homelessness. Most behavior change interventions that incorporate social networks assume a static network. However, people experiencing homelessness who transition into housing programs that use a harm reduction approach experience many changes in their social networks during this transition. Changes may include disconnecting from street-based network contacts, re-connecting with former network contacts, and exposure to new network members who actively engage in substance use. An intervention that helps people transitioning out of homelessness make positive alterations to their social networks may compliment traditional harm reduction housing program services. Methods We conducted a pilot randomized controlled trial (RCT) of an innovative Social Network Intervention (MI-SNI), which combines network visualization and Motivational Interviewing to assist adults transitioning out of homelessness. The MI-SNI provides feedback to new residents about their social environments and is designed to motivate residents to make positive changes in both their individual behavior and their personal network. In a sample of 41 adult housing program residents with past year risky substance use, we examined whether participants randomized to receive a MI-SNI showed greater changes in their personal networks over 3 months compared to those receiving usual care. Results There were significant differences in the networks of the MI-SNI group compared to the group receiving usual care at follow-up, controlling for baseline network characteristics. The MI-SNI group had greater reductions in the proportion of their network members who influenced alcohol or other drug use (AOD) use, such as drinking partners, and more frequently changed their relationships in the direction of lower AOD risk with network members who were retained in their networks across waves. Conclusions This study is the first pilot test of a MI-SNI customized for assisting the transition out of homelessness to test for personal network changes. Results indicate that MI-SNIs can have a positive impact on short-term network changes and thus may serve as a useful adjunct to behavioral change interventions. These findings suggest that a MI-SNI approach may help individuals experiencing homelessness and risky AOD use positively restructure their social networks while transitioning into supportive housing. These promising results suggest the need for a larger RCT test of this innovative intervention approach. Trial registration ClinicalTrials.gov Identifier: NCT02140359.

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Social networks and substance use after transitioning into permanentsupportive housing

Cited by 14 publications

References 48 publications

Views on health activation and support services among formerly homeless adults living in Permanent Supportive Housing in the United States

Views on health activation and support services among formerly homeless adults living in Permanent Supportive Housing in the United States

Social networks and subjective wellbeing of adults in a Housing First program

Restructuring personal networks with a Motivational Interviewing social network intervention to assist the transition out of homelessness: A randomized control pilot study

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