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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This article draws upon findings from the New York Services Study, a Federally-funded qualitative study conducted in practice settings representing two fundamentally different approaches to serving homeless adults with serious mental illness and co-occurring substance abuse. The findings yielded four themes—cumulative adversity, individual acts of kindness in a system designed to control, discordant case managers’ perspectives, and the benefits of permanent housing. Recommendations for practice include respecting individuality, being sensitive to previous traumas, and working to achieve housing security sooner rather than later. Future research is needed to study the micro-level contexts of service delivery and how they inhibit or encourage engagement in care.
KeywordsHomeless Serious mental illness Practice research
The New York Services Study was funded by the National Institute of Mental Health (MH#69865). We are grateful to the study participants, both clients and case managers, who gave generously of their time and experiences during the study.
- Culhane, D. P., Parker, W. D., Poppe, B., Gross, K. S., & Sykes, E. (2007). Accountability, cost- effectiveness, and program performance: Progress since 1998. Paper presented at the national symposium on homelessness research. Available: http://www.huduser.org/publications/pdf/p12.pdf.
- Giddens, A. (1990). Consequences of modernity. Oxford: Polity Press.Google Scholar
- Gulcur, L., Stefancic, A., Shinn, M., Tsemberis, S., & Fischer, S. N. (2003). Housing, hospitalization, and cost outcomes for homeless individuals with psychiatric disabilities participating in continuum of care and housing first programs. Journal of Community and Applied Social Psychology, 13, 171–186.CrossRefGoogle Scholar
- Locke, G., Khadduri, J. & O’Hara, A. (2007). Housing models. In D. Dennis, G. Locke, J. Khadduri (Eds.). National symposium on homelessness research. Retrieved July 20, 2008, from http://aspe.hhs.gov/hsp/homelessness/symposium07/locke/index.htm.
- National Coalition for the Homeless. (2008). Mental illness and homelessness. National Resource Center on Homelessness and Mental Illness, Washington, D.C.: NCH.Google Scholar
- Pearson, C. L., G. Locke, A. E. Montgomery, & L. Burton. (2007). The applicability of housing first models to homeless persons with serious mental illness, United States department of housing and urban development office of policy development and research, Rockville Available at http://www.huduser.org/publications/homeless/hsgfirst.html (accessed May 15, 2008).
- SAMHSA’s National registry of evidence-based program and practices: pathways’ housing first program. (2007). Available: http://www.nrepp.samhsa.gov/programfulldetails.asp?PROGRAM_ID=195.