Users’ Choice in Providing Services to the Most Vulnerable Homeless People

Hansen, Inger Lise Skog

doi:10.17645/si.v6i3.1536

Cited by 9 publications

(15 citation statements)

References 2 publications

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“…They perceived staff as being the experts who would know the best course of action to take. Hansen [ 31 ] pointed out that some informants expressed a form of ambivalence to the freedom of choice. Making choices was not always easy, and most of the participants appreciated the staff members as partners or co-producers of decisions.…”

Section: Resultsmentioning

confidence: 99%

“…Making choices was not always easy, and most of the participants appreciated the staff members as partners or co-producers of decisions. As a participant in Hansen’s study said, “I think they can decide a little too, I am not very good at deciding” [ 31 ] (p. 324).…”

Section: Resultsmentioning

confidence: 99%

“…User involvement was associated with the informant’s subjective feeling that their humanity was recognised and acknowledge, and that their story was heard and respected [ 31 , 32 , 33 ]. Additionally, user involvement was related to interactions wherein the persons with lived experiences of substance use and the staff aiming to support them engaged in a trusting relationship that enabled knowledge to be inter-subjectively shared and developed through joint reflection work [ 31 , 32 ]. It was essential that service users felt that it was possible to discuss their problems with health professionals [ 31 ].…”

Section: Resultsmentioning

confidence: 99%

“…Additionally, user involvement was related to interactions wherein the persons with lived experiences of substance use and the staff aiming to support them engaged in a trusting relationship that enabled knowledge to be inter-subjectively shared and developed through joint reflection work [ 31 , 32 ]. It was essential that service users felt that it was possible to discuss their problems with health professionals [ 31 ]. Patterson et al [ 28 ] noted that user involvement was understood as a collaborative partnership, where service users’ expertise complemented formal management capabilities.…”

Section: Resultsmentioning

confidence: 99%

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How People with Lived Experiences of Substance Use Understand and Experience User Involvement in Substance Use Care: A Synthesis of Qualitative Studies

Selseng

Follevåg

Aaslund

2021

IJERPH

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There is a need for more knowledge on how people with substance use problems (SUPs) understand and experience user involvement when receiving care. In this systematic review, we identify and reanalyse the existing qualitative research that explores how people with lived experiences of substance use understand user involvement, and their experiences of key practices for achieving user involvement. We systematically searched seven electronic databases. We applied Noblit and Hare’s meta-ethnography, revised by Malterud, to identify, translate, and summarise the studies. The electronic search resulted in 2065 articles. We conducted a full-text evaluation of 63 articles, of which 12 articles met the inclusion criteria. The primary studies’ synthesis reveals three different understandings of user involvement: user involvement as joint meaning production, points of view represented, and user representation in welfare services. Key practices for achieving user involvement involved seeing and respecting the service user as a unique person, the quality of the interactional process, and the scope of action for people with SUPs, as well as professionals, including issues of stigma, power, and fatalism. The metasynthesis recognises the ambiguity of the concept of user involvement concept and the importance of including the service user’s perspective when defining user involvement. The analysis of key practices emphasises the importance of relational processes and contextual aspects when developing user involvement concepts.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 2 more Smart Citations

How People with Lived Experiences of Substance Use Understand and Experience User Involvement in Substance Use Care: A Synthesis of Qualitative Studies

Selseng

Follevåg

Aaslund

2021

IJERPH

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“…That said, housing stigmatization cannot be understood or reversed by an exclusive analytic focus on housing as commodity and policy object (King, 2009). For example, as homelessness research shows, being homeless endures as a stigma globally (Anderson, Snow, & Cress, 1999;Hansen, 2018;Somerville, 1992;Ursin, 2016), yet being housed does not automatically mean that stigma is absent. While an address is fundamental to accessing rights of citizenship and residency, an address alone ensures neither full societal membership, nor neighbourhood belonging, nor community esteem.…”

Section: The Housing Stigma Interfacementioning

confidence: 99%

Housing Stigmatization: A General Theory

Horgan

2020

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This article treats housing stigmatization as a social process of symbolic ascription, connected to inhabitants, housing form, housing tenure, and/or housing location. Stigmatization research tends to focus on personal stigmatization, or to examine housing only in relation to territorial stigmatization, while housing research tends to focus on health and policy. This article demonstrates that housing stigmatization, which is differentiated from personal stigmatization and territorial stigmatization, is a viable unit of analysis in its own right for stigma research. Seven core elements are identified, showing that housing stigmatization is: (1) relational; (2) contextual; (3) processual; (4) reinforceable; (5) reversible; (6) morally loaded; and (7) treated as contagious. Comprehending the elements of housing stigmatization will benefit destigmatization efforts.

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Rettigheter og tvang i kommunale hjelpetilbud til personer med alvorlige samtidige rus- og psykiske lidelser: erfaringer med regelverket, i lys av menneskerettigheter

Bendixen,

Sagvaag,

Østenstad

et al. 2023

Nordic Studies on Alcohol and Drugs

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Rights and coercion in municipal services for persons with co-occurring severe mental illness and substance use disorders – experiences with legal framework, in light of human rights. Aims: Persons with co-occurring severe mental illness and substance use disorders can have a considerable need for municipal health and care services but can be difficult to reach with such services. In Norway, there are known perceived ambiguities and obscurities in the legal framework for such services. This study aims to further examine these legal issues in a Norwegian context, by examining what challenges service providers experience in the practice of the current legal framework in this field. Design: The data consists of 13 qualitative interviews with strategically selected service providers from Norwegian municipalities and county governors’ offices. The interviews were analyzed through systematic text condensation. Results: The participants reflections resulted in three especially salient perceived challenges in the practice of the current legal framework in this field: ‘being dependent upon extra efforts that exceed the legal minimum requirements’, ‘lacking a legal basis and tools’ and ‘a complex and composite legal framework’. Conclusions: When seen in light of human rights, the three identified challenges in legal framework should be considered more closely both from a research perspective and from a policy making perspective. It should be investigated further whether human rights oblige the state beyond setting forth minimum requirements, how different human rights impact one another, especially with a view to service providers’ rights v. service recipients’ rights, and lastly if it is feasible to simplify or clarify the current legal framework to ensure adherence to the law and to promote equal practice among service providers.

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