Bread and Shoulders: Reversing the Downward Spiral, a Qualitative Analyses of the Effects of a Housing First-Type Program in France
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 c...
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| Veröffentlicht in: | International journal of environmental research and public health 2018-03, Vol.15 (3), p.520 |
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| creator | Rhenter, Pauline Moreau, Delphine Laval, Christian Mantovani, Jean Albisson, Amandine Suderie, Guillaume Boucekine, Mohamed Tinland, Aurelie Loubière, Sandrine Greacen, Tim Auquier, Pascal Girard, Vincent |
| description | 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. |
| doi_str_mv | 10.3390/ijerph15030520 |
| format | Article |
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, 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.</description><identifier>ISSN: 1660-4601</identifier><identifier>ISSN: 1661-7827</identifier><identifier>EISSN: 1660-4601</identifier><identifier>DOI: 10.3390/ijerph15030520</identifier><identifier>PMID: 29538346</identifier><language>eng</language><publisher>Switzerland: MDPI AG</publisher><subject>Behavior disorders ; Bifurcations ; Bread ; France - epidemiology ; Grounded Theory ; Heterogeneity ; Homeless people ; Homeless Persons - psychology ; Homeless Persons - statistics & numerical data ; Homelessness ; Housing ; Housing - statistics & numerical data ; Humanities and Social Sciences ; Humans ; Interviews ; Interviews as Topic ; Linear transformations ; Mental disorders ; Mental Disorders - epidemiology ; Mental Disorders - psychology ; Mental health care ; Peer Group ; Peers ; Qualitative analysis ; Qualitative Research ; Quality of life ; Reflexivity ; Researchers ; Social networks ; Social Support ; Spirals ; Studies</subject><ispartof>International journal of environmental research and public health, 2018-03, Vol.15 (3), p.520</ispartof><rights>2018. This work is licensed under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>Attribution</rights><rights>2018 by the authors. 2018</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c452t-514531b926d6a3abceb99c66109755feea3ba3fe33f484711da450e5930ddfa53</citedby><cites>FETCH-LOGICAL-c452t-514531b926d6a3abceb99c66109755feea3ba3fe33f484711da450e5930ddfa53</cites><orcidid>0000-0003-1845-0838</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5877065/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5877065/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,881,27321,27901,27902,33751,53766,53768</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/29538346$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink><backlink>$$Uhttps://ehesp.hal.science/hal-02070299$$DView record in HAL$$Hfree_for_read</backlink></links><search><creatorcontrib>Rhenter, Pauline</creatorcontrib><creatorcontrib>Moreau, Delphine</creatorcontrib><creatorcontrib>Laval, Christian</creatorcontrib><creatorcontrib>Mantovani, Jean</creatorcontrib><creatorcontrib>Albisson, Amandine</creatorcontrib><creatorcontrib>Suderie, Guillaume</creatorcontrib><creatorcontrib>Boucekine, Mohamed</creatorcontrib><creatorcontrib>Tinland, Aurelie</creatorcontrib><creatorcontrib>Loubière, Sandrine</creatorcontrib><creatorcontrib>Greacen, Tim</creatorcontrib><creatorcontrib>Auquier, Pascal</creatorcontrib><creatorcontrib>Girard, Vincent</creatorcontrib><creatorcontrib>French Housing First Study Group</creatorcontrib><title>Bread and Shoulders: Reversing the Downward Spiral, a Qualitative Analyses of the Effects of a Housing First-Type Program in France</title><title>International journal of environmental research and public health</title><addtitle>Int J Environ Res Public Health</addtitle><description>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.</description><subject>Behavior disorders</subject><subject>Bifurcations</subject><subject>Bread</subject><subject>France - epidemiology</subject><subject>Grounded Theory</subject><subject>Heterogeneity</subject><subject>Homeless people</subject><subject>Homeless Persons - psychology</subject><subject>Homeless Persons - statistics & numerical data</subject><subject>Homelessness</subject><subject>Housing</subject><subject>Housing - statistics & numerical data</subject><subject>Humanities and Social Sciences</subject><subject>Humans</subject><subject>Interviews</subject><subject>Interviews as Topic</subject><subject>Linear transformations</subject><subject>Mental disorders</subject><subject>Mental Disorders - epidemiology</subject><subject>Mental Disorders - 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Academic</collection><collection>Hyper Article en Ligne (HAL)</collection><collection>HAL-SHS: Archive ouverte en Sciences de l'Homme et de la Société</collection><collection>HAL-SHS: Archive ouverte en Sciences de l'Homme et de la Société (Open Access)</collection><collection>Hyper Article en Ligne (HAL) (Open Access)</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>International journal of environmental research and public health</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Rhenter, Pauline</au><au>Moreau, Delphine</au><au>Laval, Christian</au><au>Mantovani, Jean</au><au>Albisson, Amandine</au><au>Suderie, Guillaume</au><au>Boucekine, Mohamed</au><au>Tinland, Aurelie</au><au>Loubière, Sandrine</au><au>Greacen, Tim</au><au>Auquier, Pascal</au><au>Girard, Vincent</au><aucorp>French Housing First Study Group</aucorp><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Bread and Shoulders: Reversing the Downward Spiral, a Qualitative Analyses of the Effects of a Housing First-Type Program in France</atitle><jtitle>International journal of environmental research and public health</jtitle><addtitle>Int J Environ Res Public Health</addtitle><date>2018-03-14</date><risdate>2018</risdate><volume>15</volume><issue>3</issue><spage>520</spage><pages>520-</pages><issn>1660-4601</issn><issn>1661-7827</issn><eissn>1660-4601</eissn><abstract>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.</abstract><cop>Switzerland</cop><pub>MDPI AG</pub><pmid>29538346</pmid><doi>10.3390/ijerph15030520</doi><orcidid>https://orcid.org/0000-0003-1845-0838</orcidid><oa>free_for_read</oa></addata></record> |
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| subjects | Behavior disorders Bifurcations Bread France - epidemiology Grounded Theory Heterogeneity Homeless people Homeless Persons - psychology Homeless Persons - statistics & numerical data Homelessness Housing Housing - statistics & numerical data Humanities and Social Sciences Humans Interviews Interviews as Topic Linear transformations Mental disorders Mental Disorders - epidemiology Mental Disorders - psychology Mental health care Peer Group Peers Qualitative analysis Qualitative Research Quality of life Reflexivity Researchers Social networks Social Support Spirals Studies |
| title | Bread and Shoulders: Reversing the Downward Spiral, a Qualitative Analyses of the Effects of a Housing First-Type Program in France |
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