Social relationships among persons who have experienced serious mental illness, substance abuse, and homelessness: Implications for recovery.

  title={Social relationships among persons who have experienced serious mental illness, substance abuse, and homelessness: Implications for recovery.},
  author={Deborah K. Padgett and Benjamin Henwood and Courtney Abrams and Robert E. Drake},
  journal={The American journal of orthopsychiatry},
  volume={78 3},
The new paradigm of recovery has highlighted the importance of positive social relationships, but little is known about their role in recovery among homeless individuals with serious mental illness and comorbid substance abuse. This study used within- and across-case analyses of longitudinal data from qualitative interviews with 41 dually diagnosed individuals entering residential programs to exit homelessness and receive needed services. Thematic findings include (a) "loner talk" and the need… 

An Exploratory Analysis of Unhealthy and Abusive Relationships for Adults with Serious Mental Illnesses Living in Supportive Housing

Findings from an inductive thematic analysis reveal three broad families of themes (relationship ideals, lived experiences, and risk/resources in supportive housing), around which smaller themes and subthemes are organized.

The Ties That Bind and Unbound Ties: Experiences of Formerly Homeless Individuals in Recovery From Serious Mental Illness and Substance Use

This report explores the nature and quality of social ties of formerly homeless individuals in recovery from serious mental illness and substance abuse and how these ties relate to experiences of

Substance Abuse Recovery After Experiencing Homelessness and Mental Illness: Case Studies of Change Over Time

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Qualitative Research for and in Practice: Findings from Studies with Homeless Adults Who Have Serious Mental Illness and Co-Occurring Substance Abuse

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An Ethnographic Study of the Longitudinal Course of Substance Abuse Among People with Severe Mental Illness

A two-year ethnography conducted among dually diagnosed clients yielded two longitudinal findings: four “positive quality of life” factors were strongly correlated with clients' efforts to cease using addictive substances and five “negative background factors” in participants' childhood homes were predictive of long-term continuation of substance use.

Social exclusion in clients with comorbid mental health and substance misuse problems

Examination of aspects of social exclusion between service users who have comorbid diagnoses and those with a single diagnosis found significant differences, but differences were less pronounced between theComorbid and singly diagnosed clients of the specialist Drug and Alcohol service.

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A theory of social integration as quality of life.

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Connectedness and citizenship: redefining social integration.

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The authors review recent research showing that psychosocial risk factors may explain consistently high rates of substance abuse by persons with severe mental illnesses and substance abuse is for most clients a socio-environmental phenomenon embedded in interpersonal activities.

Long-term employment trajectories among participants with severe mental illness in supported employment.

The long-term trajectories of participants in supported employment programs, both vocational and nonvocational, appear to be positive.

Fear of People with Mental Illnesses: The Role of Personal and Impersonal Contact and Exposure to Threat or Harm∗

A large national survey is used to test the "behavior hypothesis" and finds that public fear of people with mental illness is due to the observation of violent behavior, but exposure to threat or harm explains very little of the variance in perceived danger.

Health care reform based on an empowerment model of recovery by people with psychiatric disabilities.

  • D. Fisher
  • Medicine, Psychology
    Hospital & community psychiatry
  • 1994
To promote empowerment of people with mental health problems, health care reform should include affordable, universal coverage without exclusions for preexisting high-risk conditions, parity of mental health benefits with other benefits, and incentives for funding long-term care, alternatives to hospitalization, and holistic healing services.