Bread and Shoulders: Reversing the Downward Spiral, a Qualitative Analyses of the Effects of a Housing First-Type Program in France
| Autor: | Pauline Rhenter, Delphine Moreau, Christian Laval, Jean Mantovani, Amandine Albisson, Guillaume Suderie, French Housing First Study Group, Mohamed Boucekine, Aurelie Tinland, Sandrine Loubière, Tim Greacen, Pascal Auquier, Vincent Girard |
|---|---|
| Přispěvatelé: | Centre Collaborateur de l'Organisation Mondiale de la Santé pour la recherche et la formation en santé mentale (CCOMS (lille)), Organisation Mondiale de la Santé / World Health Organization Office (OMS / WHO), Centre de Recherches sur l'Action Politique en Europe (ARENES), Université de Rennes 1 (UR1), Université de Rennes (UNIV-RENNES)-Université de Rennes (UNIV-RENNES)-Institut d'Études Politiques [IEP] - Rennes-École des Hautes Études en Santé Publique [EHESP] (EHESP)-Centre National de la Recherche Scientifique (CNRS), École des Hautes Études en Santé Publique [EHESP] (EHESP), Département des sciences humaines et sociales (SHS), Centre d'études et de recherche sur les services de santé et la qualité de vie (CEReSS), Aix Marseille Université (AMU), Observatoire Régional de la Santé (ORS), Laboratoire Interdisciplinaire Solidarités, Sociétés, Territoires (LISST), École des hautes études en sciences sociales (EHESS)-Université Toulouse - Jean Jaurès (UT2J)-École Nationale Supérieure de Formation de l'Enseignement Agricole de Toulouse-Auzeville (ENSFEA)-Centre National de la Recherche Scientifique (CNRS), Aix-Marseille Université - Faculté de médecine (AMU MED), Service de Psychiatrie, Hôpital Sainte-Marguerite [CHU - APHM] (Hôpitaux Sud )-CHU Marseille, Epidémiologie et Sciences Sociales Appliquées à l'Innovation Médicale, Université de la Méditerranée - Aix-Marseille 2-Institut National de la Santé et de la Recherche Médicale (INSERM), Laboratoire de Psychiatrie Sociale - EPS Maison Blanche - Paris, EPS Maison Blanche - Paris-EPS Maison Blanche - Paris, Laboratoire de Santé Publique, Université de la Méditerranée - Aix-Marseille 2, Université de Lyon, 2011 Programme Hospitalier de Recherche Clinique National, the French Ministry of Health (Direction Générale de la Santé), as well as grants from Janssen Pharmaceutical Companies, and the Fondation de France, Université de Rennes (UR)-Institut d'Études Politiques [IEP] - Rennes-École des Hautes Études en Santé Publique [EHESP] (EHESP)-Centre National de la Recherche Scientifique (CNRS), École des hautes études en sciences sociales (EHESS)-Université Toulouse - Jean Jaurès (UT2J), Université de Toulouse (UT)-Université de Toulouse (UT)-École Nationale Supérieure de Formation de l'Enseignement Agricole de Toulouse-Auzeville (ENSFEA)-Centre National de la Recherche Scientifique (CNRS), Moreau, Delphine |
| Jazyk: | angličtina |
| Rok vydání: | 2018 |
| Předmět: |
Housing First
Health Toxicology and Mutagenesis Applied psychology lcsh:Medicine Grounded theory Peer Group Article [SHS]Humanities and Social Sciences Interviews as Topic 03 medical and health sciences Social support recovery 0302 clinical medicine Humans trajectories 030212 general & internal medicine homelessness intervention research Mental Disorders lcsh:R 1. No poverty Public Health Environmental and Occupational Health Social Support Peer group 030227 psychiatry Interpersonal ties qualitative research Grounded Theory Ill-Housed Persons Housing [SHS] Humanities and Social Sciences France Thematic analysis Construct (philosophy) Psychology Qualitative research |
| Zdroj: | International Journal of Environmental Research and Public Health International Journal of Environmental Research and Public Health, MDPI, 2018, 15 (3), pp.520. ⟨10.3390/ijerph15030520⟩ International Journal of Environmental Research and Public Health, 2018, 15 (3), pp.520. ⟨10.3390/ijerph15030520⟩ International Journal of Environmental Research and Public Health, Vol 15, Iss 3, p 520 (2018) International Journal of Environmental Research and Public Health; Volume 15; Issue 3; Pages: 520 |
| ISSN: | 1660-4601 1661-7827 |
| DOI: | 10.3390/ijerph15030520⟩ |
| Popis: | International audience; This paper is a qualitative analysis of the effects of , a support framework, on recovery trajectories of people with long-term homelessness and severe psychiatric disorders during 24 months in a Housing First-type program in France. A comprehensive methodology based on grounded theory was used to construct an interview guide, conduct multiple interviews with 35 Housing First participants sampled for heterogeneity, and produce memos on their trajectories before and after entering the program based on interview information. Thematic analysis of a representative subsample ( = 13) of memos identified 12 objective factors and 6 subjective factors key to the recovery process. An in-depth re-analysis of the memos generated four recovery themes: (1) the need for secure space favorable to self-reflexivity; (2) a "honeymoon" effect; (3) the importance of even weak social ties; (4) support from and hope among peers. Three challenges to recovery were identified: (1) finding a balance between protection and risk; (2) breaking downward spirals; (3) bifurcating the trajectory. This study provides new insight into the recovery process, understood as a non-linear transformation of an experience-the relationship between objective life conditions and subjective perception of those conditions-which reinforces protective support over risk elements. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|