scholarly journals Association between Psychological Integration and Permanent Supportive Housing: An Exploratory Study with a Focus on Ethnicity

2021 ◽  
Vol 10 (12) ◽  
pp. 468
Author(s):  
Annette S. Crisanti ◽  
Shelley Alonso-Marsden ◽  
Leah Puglisi ◽  
Richard Neil Greene ◽  
Tyler Kincaid ◽  
...  
Keyword(s):  
Mental Illness ◽  
Exploratory Study ◽  
Target Population ◽  
Supportive Housing ◽  
Future Research ◽  
Ptsd Symptoms ◽  
Permanent Supportive Housing ◽  
Psychological Integration ◽  
And Control

There is limited research on the association between Permanent Supportive Housing (PSH) and psychological integration. The purpose of this study was to explore this association among individuals with mental illness and/or substance use disorder (SUD) enrolled in PSH and to identify variables associated with sense of belonging. Given differences in outcomes of PSH by ethnicity, we were interested to determine if an association existed between PSH and psychological integration and whether it was equally observed among Hispanics and non-Hispanics. The target population included individuals who were chronically homeless and diagnosed with a mental illness and/or SUD. Baseline data were collected upon intake (N = 370). Follow-up data were collected at six-months post baseline (N = 286) and discharge (N = 143). Predictor and control variables included demographics, overall health, PTSD symptom severity, interactions with family and friends, and participation in recovery-related groups in the community. Psychological integration scores increased significantly from the baseline to the 6-month follow-up (t = −3.41, p = 0.003) and between the 6-month follow-up and discharge (t = −2.97, p = 0.007). Significant predictors of psychological integration included overall health, interactions with family and/or friends, PTSD symptoms, income, education, and diagnosis. No differences were observed between Hispanics and non-Hispanics. The findings from this exploratory study suggest that future research in this area is warranted.

scholarly journals Mixed Methods Evaluation of a Movement and Mindfulness Empowerment Workshop for Adults with Serious Mental Illness

2021 ◽  
Vol 21 (1) ◽  
pp. 136-153
Author(s):  
Michael L. Clarkson-Hendrix ◽  
Paula J. Peters
Keyword(s):  
Mental Illness ◽  
Serious Mental Illness ◽  
Quantitative Data ◽  
Qualitative Data ◽  
Future Research ◽  
Post Intervention ◽  
Major Life ◽  
The Future ◽  
And Control

For seriously mentally ill adults, empowerment is critical to maximizing participation in major life activities. Although studies have identified interventions that have positively impacted empowerment, these interventions may not be applicable or amenable to all adults with serious mental illness. More interventions with other approaches are needed. Therefore, this study evaluated the initial implementation of a movement- and mindfulness-based workshop intervention. Quantitative data were used to examine differences in empowerment before and after the workshop, and qualitative data were used to explore participants’ perceptions of the reasons for empowerment differences. Ten participants completed the intervention, and nine of the ten participants also completed follow-up interviews. Quantitative data were collected via pre- and post-intervention surveys. Qualitative data were collected through follow-up interviews with the participants. Surveys revealed perceptions of optimism and control over the future increased between pre- and post-intervention. Interviews uncovered that increases in optimism and control over the future may have been related to workshop accomplishments and reduced helplessness outside of workshop sessions. Future research would benefit from the creation of a training manual along with a validated system to monitor intervention fidelity.

scholarly journals Mental Illness, Social Suffering and Structural Antagonism in the Labour Process

2019 ◽  
Vol 33 (6) ◽  
pp. 948-965
Author(s):  
Megan Woods ◽  
Rob Macklin ◽  
Sarah Dawkins ◽  
Angela Martin
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Future Research ◽  
Social Suffering ◽  
Labour Process ◽  
Workplace Conditions ◽  
People With Mental Illness ◽  
The Social ◽  
And Control ◽  
Discursive Resources

Workplace conditions and experiences powerfully influence mental health and individuals experiencing mental illness, including the extent to which people experiencing mental ill-health are ‘disabled’ by their work environments. This article explains how examination of the social suffering experienced in workplaces by people with mental illness could enhance understanding of the inter-relationships between mental health and workplace conditions, including experiences and characteristics of the overarching labour process. It examines how workplace perceptions and narratives around mental illness act as discursive resources to influence the social realities of people with mental ill-health. It applies Labour Process Theory to highlight how such discursive resources could be used by workers and employers to influence the power, agency and control in workplace environments and the labour process, and the implications such attempts might have for social suffering. It concludes with an agenda for future research exploring these issues.

Personality Change from Experiential Techniques: Relaxation versus Catharsis

1998 ◽  
Vol 18 (2) ◽  
pp. 107-120 ◽  
Author(s):  
B. F. Lloyd ◽  
P. M. Gannon
Keyword(s):  
Treatment Outcome ◽  
Univariate Analysis ◽  
Common Factors ◽  
Negative Emotionality ◽  
Personality Change ◽  
Outcome Analysis ◽  
Future Research ◽  
Positive Emotionality ◽  
And Control

Relates measures of two treatment-experiences to the measures of personality-change as treatment-outcome. Sixteen of the fifty-eight volunteers for catharsis were randomly allocated to relaxation for comparison. Multivariate analysis of the Phenomenology of Consciousness Inventory (PCI) reveals that relaxation vs. catharsis are significantly different treatment-experiences. Univariate analysis, however, reveals significant differences on three PCI dimensions only, i.e., Negative Affect, Arousal, and Memory, with no significant differences for the self-altering features. Treatment-outcome analysis, pre-to-post, reveals significant increases in Positive Emotionality, Wellbeing, and Control, with significant decreases in Negative Emotionality, Stress Reaction, and Alienation, with no significant changes over the six-month follow-up no-treatment period. With PCI measures as the predictors for outcome, there are no unique factors between groups or common factors across groups to predict the variance on outcome measures. Suggests future research to implicate separate functions in personality as predictors for the treatment-experience and the treatment-outcome independently.

Autonomous Mode of Systematic Dilemma Counseling

1981 ◽  
Vol 48 (1) ◽  
pp. 231-246 ◽  
Author(s):  
Morton Wagman
Keyword(s):  
Group Treatment ◽  
Previous Experiment ◽  
Complete System ◽  
Future Research ◽  
Control Group ◽  
Treatment Groups ◽  
Autonomous Mode ◽  
Contact Control ◽  
And Control

The autonomous dilemma counseling system is described and evaluated. The Dilemma Counseling Module teaches the dilemma problem-solving method. Solution components contain 75 representative life-choice problems and over 400 specific and general solutions. The Dilemma Therapeuter Component provides, on cassettes, supportive commentary from a counselor. 75 students with troublesome psychological dilemmas were randomly assigned to treatment groups or to a no-contact control group. One treatment condition consisted of the complete system while the other condition omitted the Dilemma Therapeuter. Treatment and control subjects responded to measures of problem improvement at a 1-wk. follow-up session. Each treatment group improved significantly more than the control group. Treatment groups did not differ. Findings are compared with those of a previous experiment in which the same design and dependent measures were used but in which treatment was given counselors using either the Dilemma Counseling ( n = 20) or an eclectic method ( n = 20). A combined analysis indicated no difference between the autonomous and counselors' treatments. It was concluded that the system can be independently applied. Future research is discussed.

Coping with the Dual Demands of Severe Mental Illness and Parenting: The Parents' Perspective

2003 ◽  
Vol 84 (1) ◽  
pp. 109-118 ◽  
Author(s):  
Barry J. Ackerson
Keyword(s):  
Mental Illness ◽  
Severe Mental Illness ◽  
Interpersonal Relationships ◽  
Mentally Ill ◽  
Role Reversal ◽  
Future Research ◽  
Single Parenthood ◽  
Sources Of Support ◽  
Boundary Issues

The experience of parenthood by individuals with severe mental illness has not been well studied. Research on mentally ill parents has focused on their pathology and the potential risk for their children without considering the parents' perspective. This qualitative study used interviews to explore how these parents coped with the dual demands of parenthood and their illness. Participants included individuals whose children are now young adults as well as those with younger children. Themes that emerged were problems with diagnosis and treatment, stigma, chaotic interpersonal relationships, the strain of single parenthood, custody issues, relationship with children, social support, and pride in being a parent. Follow-up interviews focused on the themes of relationship with children, strain of single parenthood, and sources of support. Relationship with children contained three specific topics: discipline, boundary issues, and role reversal. Implications for practice are discussed along with recommendations for future research involving other family members.

scholarly journals Smoke-Free Home Intervention in Permanent Supportive Housing: A Multifaceted Intervention Pilot

2020 ◽  
Author(s):  
Arturo Durazo ◽  
Marlena Hartman-Filson ◽  
Kenneth Perez ◽  
Natalie M Alizaga ◽  
Anne Berit Petersen ◽  
...  
Keyword(s):  
Smoking Cessation ◽  
San Francisco ◽  
Brief Intervention ◽  
Odds Ratio ◽  
San Francisco Bay Area ◽  
Supportive Housing ◽  
Bay Area ◽  
Permanent Supportive Housing ◽  
Voluntary Adoption

Abstract Introduction Smoke-free homes (SFHs), the voluntary adoption of home smoking restrictions, are associated with reduced secondhand smoke exposure. However, SFHs are uncommon in permanent supportive housing (PSH) for formerly homeless adults, who have fivefold higher smoking rates than the general population. We pilot-tested a brief intervention to increase voluntary adoption of SFHs among PSH residents in the San Francisco Bay Area. Aims and Methods We pilot-tested a brief intervention to increase voluntary adoption of SFHs among PSH residents in the San Francisco Bay Area. Rest of the methods, PSH residents (n = 100) and staff (n = 62) from 15 PSH sites participated in the intervention between October 2017 and February 2018. Research staff provided counseling to PSH residents on how to adopt an SFH and trained PSH staff on how to counsel residents on smoking cessation. The primary outcome was self-reported voluntary adoption of an SFH for ≥90 days, and the secondary outcome was carbon monoxide-verified PPA at 6-month follow-up. PSH staff completed the Smoking Knowledge, Attitudes, and Practices survey at baseline and 3-month follow-up. Results At 6 months, 31.3% of PSH residents had adopted an SFH (vs. 13.0% at baseline) and 16.9% reported carbon monoxide-verified PPA. A positive attitude toward an SFH policy was associated with increased odds of SFH adoption (adjusted odds ratio = 8.68, 95% confidence interval: 2.42, 31.17). Voluntary SFH adoption was associated with increased PPA (adjusted odds ratio = 26.27, 95% confidence interval: 3.43, 201.30). PSH staff reported improved attitudes toward and self-efficacy in delivering cessation care, and decreased barriers to discussing smoking cessation among PSH residents between baseline and 3-month follow-up. Conclusions In this single-arm study, a brief intervention increased SFH adoption and PPA among PSH residents. Implications To date, few interventions have addressed SFHs and their association with tobacco use among PSH residents. A “ground-up” approach that relies on buy-in from residents and that promotes voluntary SFHs is an innovative way to increase smoke-free living environments in PSH. This approach could pave a pathway for smoke-free policy implementation in these sites. PSH can play a role in reducing the burden of tobacco use by empowering its residents to adopt voluntary SFHs, which could increase smoking cessation among residents.

scholarly journals Permanent Supportive Housing Design Characteristics Associated with the Mental Health of Formerly Homeless Adults in the U.S. and Canada: An Integrative Review

2021 ◽  
Vol 18 (18) ◽  
pp. 9588
Author(s):  
Kimberly A. Rollings ◽  
Christina S. Bollo
Keyword(s):  
Mental Health ◽  
Built Environment ◽  
Housing Quality ◽  
Integrative Review ◽  
Supportive Housing ◽  
Future Research ◽  
Housing Design ◽  
Permanent Supportive Housing ◽  
Architecture And Design ◽  
The U.S

The built environment directly and indirectly affects mental health, especially for people transitioning from long-term homelessness to permanent supportive housing (PSH) who often experience co-occurring behavioral health challenges. Despite a rapid increase in PSH availability, little research examines influences of architecture and design within this context. This integrative review synthesized limited research on PSH design in the U.S. and Canada to identify built environment characteristics associated with PSH residents’ mental health, highlight gaps in the literature, and prioritize future research directions. A systematic search for peer-reviewed articles was conducted using nine databases drawing from multiple disciplines including architecture, environmental psychology, interior design, psychology, psychiatry, medicine, and nursing. Seventeen articles met inclusion criteria. Study design, methodology, built environment properties, place attributes, and relevant findings were extracted and iteratively analyzed. Three domains relevant to architecture and design were identified related to home, ontological security, and trauma sensitivity; dwelling unit type, privacy, control, safety, housing quality and location, and access to amenities; and shared common space. Integrative review results emphasize the potential of architecture and design to contribute to improved built environment quality and mental health outcomes among PSH residents. Methodological limitations and directions for future research are also discussed.

scholarly journals A mixed methods exploratory study of women’s relationships with and uses of fertility tracking apps

2018 ◽  
Vol 4 ◽  
pp. 205520761878507 ◽  
Author(s):  
Katie Gambier-Ross ◽  
David J McLernon ◽  
Heather M Morgan
Keyword(s):  
Mixed Methods ◽  
Exploratory Study ◽  
Online Survey ◽  
Fertility Treatment ◽  
Future Research ◽  
Free Text ◽  
Health Apps ◽  
Women's Relationships ◽  
Data Informed

Digital self-tracking is rising, including tracking of menstrual cycles by women using fertility tracking apps (FTAs). However, little is known about users’ experiences of FTAs and their relationships with them. The aim of this study was to explore women’s uses of and relationships with FTAs. This exploratory study employed a mixed methods approach, involving the collection and analysis of an online survey and follow-up interviews. Qualitative analysis of survey and interview data informed hypothesis development. Online surveys yielded 241 responses and 11 follow-up interviews were conducted. Just over a third of women surveyed had experience of using FTAs (89/241) and follow-up interviews were conducted with a proportion of respondents (11/241). Four main motivations to use FTAs were identified: (a) to observe cycle (72%); (b) to conceive (34%); (c) to inform fertility treatment (12%); and (d) as contraception (4%). Analysis of the free-text survey questions and interviews using grounded theory methodology highlighted four themes underpinning women’s relationships with FTAs: (a) medical grounding; (b) health trackers versus non-trackers; (c) design; and (d) social and ethical aspects. Participants who used other health apps were more likely to use FTAs ( p = 0.001). Respondents who used contraception were less likely to use FTAs compared with respondents who did not use contraception ( p = 0.002). FTA usage also decreases ( p = 0.001) as age increases. There was no association between FTA usage and menstrual status ( p = 0.259). This research emphasises the differing motivations for FTA use. Future research should further explore the diverse relationships between different subgroups of women and FTAs.

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