scholarly journals Increases in Social Support Co-Occur with Decreases in Depression and Substance Use Problems Among Adults in Permanent Supportive Housing: An 18-Month Longitudinal Study

2020 ◽  
Author(s):  
Zhengqi Tan ◽  
Eun-Young Mun ◽  
Uyen-Sa D. T. Nguyen ◽  
Scott T. Walters
Keyword(s):  
Social Support ◽  
Substance Use ◽  
Protective Factor ◽  
Growth Models ◽  
Parallel Process ◽  
Supportive Housing ◽  
Protective Effects ◽  
Permanent Supportive Housing ◽  
Substance Use Problems ◽  
Over Time

Abstract Background: Social support is a well-known protective factor against depression and substance use problems, but very few studies have examined its protective effects among Permanent Supportive Housing (PSH) residents. We utilized unconditional latent growth curve models (LGCMs) and parallel process growth models to describe univariate trajectories of social support, depression, and substance use problems, and to examine their longitudinal associations in a large sample of adults residing in PSH.Methods: Participants were 653 adult PSH residents in North Texas (56% female; 57% Black, 35% White, 8% other; mean age: 51 years) who participated in a monthly health coaching program from 2014 to 2017. Their health behaviors were assessed at baseline and tracked every six months at three follow-up visits.Results: Unconditional LGCMs indicated that over time, social support increased, whereas depressive symptoms and substance use problems decreased. However, their rates of change slowed over time. Further, in parallel process growth models, we found that at baseline, individuals with greater social support tended to have less severe depression and substance use problems (coefficients: –0.67, p<0.01; –0.52, p<0.01, respectively). Individuals with a faster increase in social support tended to have steeper rates of reduction in both depression (coefficient: –0.99, p<0.01) and substance use problems (coefficient: –0.98, p<0.01), respectively.Conclusions: This study suggests that increases in social support, though slowing over time, still positively impact depression and substance use problems among PSH residents. Future PSH programs could emphasize social support as an early component as it may contribute to clients’ overall health.

scholarly journals Increases in social support co-occur with decreases in depressive symptoms and substance use problems among adults in permanent supportive housing: an 18-month longitudinal study

2021 ◽  
Vol 9 (1) ◽  
Author(s):  
Zhengqi Tan ◽  
Eun-Young Mun ◽  
Uyen-Sa D. T. Nguyen ◽  
Scott T. Walters
Keyword(s):  
Social Support ◽  
Substance Use ◽  
Depressive Symptoms ◽  
Protective Factor ◽  
Growth Models ◽  
Parallel Process ◽  
Supportive Housing ◽  
Permanent Supportive Housing ◽  
Substance Use Problems ◽  
Over Time

Abstract Background Social support is a well-known protective factor against depressive symptoms and substance use problems, but very few studies have examined its protective effects among residents of permanent supportive housing (PSH), a housing program for people with a history of chronic homelessness. We utilized unconditional latent growth curve models (LGCMs) and parallel process growth models to describe univariate trajectories of social support, depressive symptoms, and substance use problems and to examine their longitudinal associations in a large sample of adults residing in PSH. Methods Participants were 653 adult PSH residents in North Texas (56% female; 57% Black; mean age: 51 years) who participated in a monthly health coaching program from 2014 to 2017. Their health behaviors were assessed at baseline and tracked every six months at three follow-up visits. Results Unconditional LGCMs indicated that over time, social support increased, whereas depressive symptoms and substance use problems decreased. However, their rates of change slowed over time. Further, in parallel process growth models, we found that at baseline, individuals with greater social support tended to have less severe depressive symptoms and substance use problems (coefficients: − 0.67, p < 0.01; − 0.52, p < 0.01, respectively). Individuals with a faster increase in social support tended to have steeper rates of reduction in both depressive symptoms (coefficient: − 0.99, p < 0.01) and substance use problems (coefficient: − 0.98, p < 0.01), respectively. Conclusions This study suggests that plausibly, increases in social support, though slowing over time, still positively impact depressive symptoms and substance use problems among PSH residents. Future PSH programs could emphasize social support as an early component as it may contribute to clients’ overall health.

scholarly journals Differences in Health and Social Support between Homeless Men and Women Entering Permanent Supportive Housing

2017 ◽  
Vol 27 (3) ◽  
pp. 286-293 ◽  
Author(s):  
Hailey Winetrobe ◽  
Suzanne Wenzel ◽  
Harmony Rhoades ◽  
Benjamin Henwood ◽  
Eric Rice ◽  
...  
Keyword(s):  
Social Support ◽  
Supportive Housing ◽  
Men And Women ◽  
Permanent Supportive Housing ◽  
Homeless Men

scholarly journals Do HIV risk and prevention behaviors change over time among adults in permanent supportive housing?

AIDS Care ◽  
2019 ◽  
Vol 31 (9) ◽  
pp. 1172-1177 ◽  
Author(s):  
Suzanne L. Wenzel ◽  
Harmony Rhoades ◽  
Wichada La Motte-Kerr ◽  
Lei Duan ◽  
Taylor Harris ◽  
...  
Keyword(s):  
Hiv Risk ◽  
Supportive Housing ◽  
Change Over Time ◽  
Permanent Supportive Housing ◽  
Over Time

scholarly journals Joint Trajectories of Spousal Social Support and Depressive Symptoms in Older Age

2017 ◽  
Vol 31 (5) ◽  
pp. 760-782 ◽  
Author(s):  
Mai Stafford ◽  
Toni C. Antonucci ◽  
Paola Zaninotto
Keyword(s):  
Social Support ◽  
Depressive Symptoms ◽  
Growth Models ◽  
Depression Scale ◽  
Epidemiologic Studies ◽  
And Gender ◽  
Bidirectional Associations ◽  
Negative Support ◽  
Positive Support ◽  
Over Time

Objective: We describe changes in depressive symptoms and positive and negative social support from the spouse/partner in a representative sample of older people in England. Method: Men and women aged 50+ ( N = 7,171) from the English Longitudinal Study of Ageing reported social support and depressive symptoms (Center for Epidemiologic Studies Depression Scale) on up to five occasions between 2002-2003 and 2010-2011. Parallel process latent growth models estimated their bidirectional associations, adjusted for gender, wealth, education, and limiting illness. Results: In age- and gender-adjusted models, positive spousal support decreased and negative support increased over time, especially among women. Greater increases over time in depressive symptoms were seen in those with lower positive support or higher negative support at baseline. More baseline depressive symptoms predicted greater declines in positive support and greater increases in negative support from the spouse. Discussion: Improving older couple’s relationship quality may help reduce depressive symptoms.

scholarly journals Leaving rehab: enhancing transitions into stable housing

2021 ◽  
Author(s):  
Cameron Duff ◽  
Nicholas Hill ◽  
Hazel Blunden ◽  
kylie valentine ◽  
Sean Randall ◽  
...  
Keyword(s):  
Mental Health ◽  
Social Support ◽  
Substance Use ◽  
Support Services ◽  
Transition Planning ◽  
International Comparisons ◽  
Housing Instability ◽  
Substance Use Problems ◽  
Stable Housing ◽  
Social Support Services

The project will examine the coordination between residential treatment and housing and social support services using international comparisons and linked administrative data followed by testing in the field. It aims to enhance transition planning and reduce the risk of housing instability for individuals leaving treatment for mental health and/or substance use problems.

scholarly journals Developing Tobacco Control Interventions in Permanent Supportive Housing for Formerly Homeless Adults

2019 ◽  
Vol 21 (6) ◽  
pp. 972-982 ◽  
Author(s):  
Natalie M. Alizaga ◽  
Tram Nguyen ◽  
Anne Berit Petersen ◽  
Holly Elser ◽  
Maya Vijayaraghavan
Keyword(s):  
Substance Use ◽  
Tobacco Control ◽  
San Francisco ◽  
Population Based ◽  
Supportive Housing ◽  
Successful Implementation ◽  
Effective Population ◽  
Bay Area ◽  
Permanent Supportive Housing ◽  
Formerly Homeless

Smoke-free policies are effective population-based strategies to reduce tobacco use yet are uncommon in permanent supportive housing (PSH) for formerly homeless individuals who have high rates of smoking. In this study, we partnered with six supportive housing agencies in the San Francisco Bay Area to examine the implementation of smoke-free policies and cessation services. We administered a questionnaire and conducted in-depth, semistructured interviews with agency directors (n = 6), property management staff (n = 23), and services staff (n = 24) from 23 PSH sites on the barriers to implementing tobacco control interventions. All properties restricted smoking in indoor shared areas, but only two had policies restricting smoking in living areas. While there was staff consensus that smoke-free policies were important to reduce tobacco-related harm, participants disagreed on whether smoke-free policies were aligned with PSH’s harm reduction framework. Residents’ comorbid mental illness and substance use and the lack of appropriate enforcement tools were barriers to implementation. Using these formative findings, we present a framework for a toolkit of strategies to increase implementation of smoke-free policies and cessation interventions in PSH. Successful implementation of indoor smoke-free policies in PSH will require concurrent cessation services to support smoking cessation efforts and address the mental health and substance use needs of residents.

scholarly journals Barriers for implementing an intervention for substance using adolescents when adding a parent component

2021 ◽  
Vol 129 (s1) ◽  
pp. 110-114
Author(s):  
Kalina Isela Martínez Martínez ◽  
María Eugenia Contreras-Pérez ◽  
Eric F. Wagner
Keyword(s):  
Substance Use ◽  
Behavior Problems ◽  
Brief Intervention ◽  
Intervention Program ◽  
Protective Factor ◽  
Family Context ◽  
Intervention Process ◽  
Substance Use Problems ◽  
The Family ◽  
Parent Component

Research has shown that an intervention process with adolescents involving the parents may achieve better results since the interaction with the parents is a protective factor itself. The brief intervention program for adolescents starting substance use is an intervention used in Mexican clinical centers with adolescents who have experienced problems with their substance use but do not present dependency symptoms. The family context is key to the genesis and progression of behavior problems, including substance use, among children and adolescents. An intervention process that involves parents may achieve better results in preventing substance use problems in adolescents

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