Mechanisms of change and participant outcomes in a Recovery Education Centre for individuals transitioning from homelessness: a qualitative evaluation
| Autor: | Rebecca Brown, Nadine Reid, Sophie Soklaridis, Vicky Stergiopoulos, Bushra Khan, Nicole Kozloff |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
Adult
Male Mental Health Services medicine.medical_specialty Canada Service delivery framework media_common.quotation_subject Applied psychology Interpersonal communication Outcomes 03 medical and health sciences 0302 clinical medicine Social skills Patient Education as Topic Mechanisms Medicine Humans 030212 general & internal medicine Empowerment Poverty Qualitative Research media_common business.industry 4. Education Public health Mental Disorders lcsh:Public aspects of medicine Public Health Environmental and Occupational Health Homelessness lcsh:RA1-1270 Middle Aged Mental health Recovery college 030227 psychiatry Ill-Housed Persons Female Recovery education Thematic analysis business Qualitative research Program Evaluation Research Article |
| Zdroj: | BMC Public Health, Vol 20, Iss 1, Pp 1-9 (2020) BMC Public Health |
| ISSN: | 1471-2458 |
| DOI: | 10.1186/s12889-020-08614-8 |
| Popis: | Background Recovery Education Centres (RECs) are increasingly implemented to support the process of recovery for individuals experiencing mental health challenges. However, the evidence on key REC mechanisms and outcomes, particularly for diverse subpopulations or service delivery contexts is scant. This study identified mechanisms and outcomes of an REC focused on adults with mental health challenges transitioning from homelessness. Methods Qualitative methods were used to explore in-depth the experiences of homeless and unstably housed participants experiencing mental health challenges in Toronto, Canada. Twenty service users participated in semi-structured interviews between July 2017 and June 2018, six to 14 months following REC enrollment. A realist informed interview guide explored participants’ perspectives on key REC mechanisms and outcomes. Interviews were audio-recorded, transcribed verbatim and analyzed using inductive thematic analysis. Investigator triangulation and member checking processes enhanced analytical rigour. Results Participants perceived that program participation supported the process of recovery through several mechanisms: a judgment-free environment; supportive relationships, mutuality and role modelling; deconstruction of self-stigma; and reclaiming of one’s power. Participants described several outcomes at the personal, interpersonal and social levels, including improvements in health and well-being; self-esteem, confidence and identity; sense of empowerment, control and personal responsibility; as well as improvements in interpersonal skills, pro-social behaviours and ability to self-advocate; and increased goal development and future orientation. Conclusions Findings suggest RECs can support the process of recovery among people transitioning from homelessness and can successfully support subpopulations experiencing mental health challenges and social disadvantage. |
| Databáze: | OpenAIRE |
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