Beyond behaviour: rethinking integration for people experiencing homelessness.
Italy
homeless services
homelessness
integration
public health
qualitative method
Journal
Health & social care in the community
ISSN: 1365-2524
Titre abrégé: Health Soc Care Community
Pays: England
ID NLM: 9306359
Informations de publication
Date de publication:
05 2021
05 2021
Historique:
revised:
28
12
2020
received:
07
04
2020
accepted:
18
01
2021
pubmed:
10
2
2021
medline:
3
11
2021
entrez:
9
2
2021
Statut:
ppublish
Résumé
Integration is one of the main goals of homeless services. Despite the growing research on integration and homelessness, few studies start with the perspective of people experiencing homelessness. Integration is often measured as participation in a list of standard behaviours. This process assesses behaviour in accordance with social norms but ignores people's own feelings and understanding of integration. The main aim of this study is to explore the meaning of integration from the perspective of people experiencing homelessness. Data were collected through semi-structured interviews involving 26 people in homeless service programmes. Five main themes regarding the meanings of integration were generated: work, housing, respectful relationships, family and personal dignity. Moreover, two themes of obstacles and facilitators affecting integration were identified. A new conceptualisation of integration is generated that captures the participants' sense of personal dignity, respect and recognition from others and a sense of utility within their living environments (work, house and family). Implications of the results are discussed with respect to homeless services and research on homelessness.
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
846-855Informations de copyright
© 2021 John Wiley & Sons Ltd.
Références
Amore, K., Baker, M., & Howden-Chapman, P. (2011). The ETHOS definition and classification of homelessness: An analysis. European Journal of Homelessness, 5(2), 19-37.
Anderson, I., & Christian, J. (2003). Causes of homelessness in the UK: A dynamic analysis. Journal of Community & Applied Social Psychology, 13(2), 105-118.
Aubry, T., Flynn, R. J., Virley, B., & Neri, J. (2013). Social role valorization in community mental health housing: Does it contribute to the community integration and life satisfaction of people with psychiatric disabilities? Journal of Community Psychology, 41(2), 218-235.
Aubry, T., & Myner, J. (1996). Community integration and quality of life: A comparison of persons with psychiatric disabilities in housing programs and community residents who are neighbours. Canadian Journal of Community Mental Health, 15(1), 5-20.
Beijer, U., Wolf, A., & Fazel, S. (2012). Prevalence of tuberculosis, hepatitis C virus, and HIV in homeless people: A systematic review and meta-analysis. The Lancet Infectious Diseases, 12(11), 859-870.
Braun, V., & Clarke, V. (2006). Using thematic analysis in psychology. Qualitative Research in Psychology, 3(2), 77-101.
Bronfenbrenner, U. (1977). Toward an experimental ecology of human development. American Psychologist, 32(7), 513.
Chan, D. V., Gopal, S., & Helfrich, C. A. (2014). Accessibility patterns and community integration among previously homeless adults: A Geographic Information Systems (GIS) approach. Social Science & Medicine, 120, 142-152.
Cherner, R. A., Aubry, T., & Ecker, J. (2017). Predictors of the physical and psychological integration of homeless adults with problematic substance use. Journal of Community Psychology, 45(1), 65-80.
Collins, S. E., Jones, C. B., Hoffmann, G., Nelson, L. A., Hawes, S. M., Grazioli, V. S., & Herndon, P. (2016). In their own words: Content analysis of pathways to recovery among individuals with the lived experience of homelessness and alcohol use disorders. International Journal of Drug Policy, 27, 89-96.
Coltman, L., Gapka, S., Harriott, D., Koo, M., Reid, J., & Zsager, A. (2015). Understanding community integration in a Housing-First approach: Toronto At Home/Chez Soi community-based research. Intersectionalities: A Global Journal of Social Work Analysis, Research, Polity, and Practice, 4(2), 39-50.
Ecker, J., & Aubry, T. (2016). Individual, housing, and neighborhood predictors of psychological integration among vulnerably housed and homeless individuals. American Journal of Community Psychology, 58(1-2), 111-122.
Ecker, J., & Aubry, T. (2017). A mixed methods analysis of housing and neighbourhood impacts on community integration among vulnerably housed and homeless individuals. Journal of Community Psychology, 45(4), 528-542.
Gaboardi, M., Lenzi, M., Disperati, F., Santinello, M., Vieno, A., Tinland, A., Vargas-Moniz, M. J., Spinnewijn, F., O’Shaughnessy, B. R., Wolf, J. R., Bokszczanin, A., Bernad, R., Beijer, U., Ornelas, J., & Shinn, M. & Consortium Study Group H-E. (2019). Goals and principles of providers working with people experiencing homelessness: A comparison between housing first and traditional staircase services in eight European countries. International Journal of Environmental Research and Public Health, 16(9), 1590.
Granerud, A., & Severinsson, E. (2006). The struggle for social integration in the community-the experiences of people with mental health problems. Journal of Psychiatric and Mental Health Nursing, 13(3), 288-293.
Gulcur, L., Tsemberis, S., Stefancic, A., & Greenwood, R. M. (2007). Community integration of adults with psychiatric disabilities and histories of homelessness. Community Mental Health Journal, 43(3), 211-228.
Jahoda, M. (1982). Employment and unemployment. Cambridge University Press.
Johnstone, M., Parsell, C., Jetten, J., Dingle, G., & Walter, Z. (2016). Breaking the cycle of homelessness: Housing stability and social support as predictors of long-term well-being. Housing Studies, 31(4), 410-426.
Lee, B. A., Tyler, K. A., & Wright, J. D. (2010). The new homelessness revisited. Annual Review of Sociology, 36, 501-521.
Manning, R. M., & Greenwood, R. M. (2019). Recovery in homelessness: The influence of choice and mastery on physical health, psychiatric symptoms, alcohol and drug use, and community integration. Psychiatric Rehabilitation Journal, 42(2), 147-157.
Marshall, C. A., Boland, L., Westover, L. A., Marcellus, B., Weil, S., & Wickett, S. (2020). Effectiveness of interventions targeting community integration among individuals with lived experiences of homelessness: A systematic review. Health & Social Care in the Community, 28, 1843-1862.
Nemiroff, R., Aubry, T., & Klodawsky, F. (2011). From homelessness to community: Psychological integration of women who have experienced homelessness. Journal of Community Psychology, 39(8), 1003-1018.
Nussbaum, M. C. (2001). Women and human development: The capabilities approach. Cambridge University Press.
Nussbaum, M. C. (2011). Creating capabilities: The human development approach. Belknap Press.
Ornelas, J., Martins, P., Zilhão, M. T., & Duarte, T. (2014). Housing First: An ecological approach to promoting community integration. European Journal of Homelessness, 8(1), 29-56.
Padgett, D. K. (2011). Qualitative and mixed methods in public health. SAGE Publications.
Padgett, D. K., Smith, B. T., Choy-Brown, M., Tiderington, E., & Mercado, M. (2016). Trajectories of recovery among formerly homeless adults with serious mental illness. Psychiatric Services, 67(6), 610-614.
Patterson, M. L., Moniruzzaman, A., & Somers, J. M. (2014). Community participation and belonging among formerly homeless adults with mental illness after 12 months of Housing First in Vancouver, British Columbia: A randomized controlled trial. Community Mental Health Journal, 50(5), 604-611.
Pleace, N., Baptista, I., Benjaminsen, L., & Busch-Geertsema, V. (2018). Homelessness Services in Europe: EOH Comparative Studies on Homelessness. Research Report. FEANTSA.
Price, R. H. (1985). Work and community. American Journal of Community Psychology, 13, 1-12.
Quilgars, D., & Pleace, N. (2016). Housing first and social integration: A realistic aim? Social Inclusion, 4(4), 5-15.
Raitakari, S., Haahtela, R., & Juhila, K. (2016). Tackling community integration in mental health home visit integration in Finland. Health & Social Care in the Community, 24(5), e53-e62.
Segal, S. P., & Aviram, U. (1978). The mentally ill in community- based sheltered care: A study of community care and social integration. New York: Wiley.
Shinn, M. (2007). International homelessness: Policy, socio-cultural, and individual perspectives. Journal of Social Issues, 63(3), 657-677.
Shinn, M. (2010). Homelessness, poverty, and social exclusion in the United States and Europe. European Journal on Homelessness, 4, 19-44.
Shinn, M. (2015). Community psychology and the capabilities approach. American Journal of Community Psychology, 55(3-4), 243-252.
Somers, J. M., Moniruzzaman, A., Patterson, M., Currie, L., Rezansoff, S. N., Palepu, A., & Fryer, K. (2017). A randomized trial examining housing first in congregate and scattered site formats. PLoS One, 12(1), e0168745.
Terry, R., & Townley, G. (2019). Exploring the Role of Social Support in Promoting Community Integration: An Integrated Literature Review. American Journal of Community Psychology, 64(3-4), 509-527.
Thomas, Y., Gray, M., McGinty, S., & Ebringer, S. (2011). Homeless adults engagement in art: First steps towards identity, recovery and social inclusion. Australian Occupational Therapy Journal, 58(6), 429-436.
Thulien, N. S., Gastaldo, D., McCay, E., & Hwang, S. W. (2019). “I want to be able to show everyone that it is possible to go from being nothing in the world to being something”: Identity as a determinant of social integration. Children and Youth Services Review, 96, 118-126.
Townley, G., & Kloos, B. (2011). Examining the psychological sense of community for individuals with serious mental illness residing in supported housing environments. Community Mental Health Journal, 47(4), 436-446.
Townley, G., Kloos, B., & Wright, P. A. (2009). Understanding the experience of place: Expanding methods to conceptualize and measure community integration of persons with serious mental illness. Health & Place, 15(2), 520-531.
Townley, G., & Terry, R. (2018). Highlighting the way forward: A review of community mental health research and practice published in AJCP and JCP. American Journal of Community Psychology, 61(1-2), 10-21.
Tsai, J., Mares, A. S., & Rosenheck, R. A. (2012). Does housing chronically homeless adults lead to social integration? Psychiatric Services, 63(5), 427-434.
Tsai, J., & Rosenheck, R. A. (2012). Conceptualizing social integration among formerly homeless adults with severe mental illness. Journal of Community Psychology, 40(4), 456-467.
Ware, N. C., Hopper, K., Tugenberg, T., Dickey, B., & Fisher, D. (2007). Connectedness and citizenship: Redefining social integration. Psychiatric Services, 58(4), 469-474.
Wong, Y. L. I., & Solomon, P. L. (2002). Community integration of persons with psychiatric disabilities in supportive independent housing: A conceptual model and methodological considerations. Mental Health Services Research, 4(1), 13-28.
Yanos, P. T., Barrow, S. M., & Tsemberis, S. (2004). Community integration in the early phase of housing among homeless persons diagnosed with severe mental illness: Successes and challenges. Community Mental Health Journal, 40(2), 133-150.
Yanos, P. T., Felton, B. J., Tsemberis, S., & Frye, V. A. (2009). Exploring the role of housing type, neighborhood characteristics, and lifestyle factors in the community integration of formerly homeless persons diagnosed with mental illness. Journal of Mental Health, 16(6), 703-717.