Cohesion of the primary social network and sustained service use before the first psychiatric hospitalization

Carpentier, Normand; White, Deena

doi:10.1007/bf02287347

Cited by 36 publications

(35 citation statements)

References 36 publications

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“…Because of the dense nature of ties, cohesion is more salient in understanding how people are socialized into a subgroup and the internalization of group norms, because of the frequency of communication and sanctions associated with nonconformity in a closely connected group (Carpentier and White, 2002; Tyler and Melander, 2012). …”

Section: Discussionmentioning

confidence: 99%

Sociometric network structure and its association with methamphetamine use norms among homeless youth

Barman‐Adhikari

Begun

Rice

et al. 2016

Social Science Research

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Homeless youths' social networks are consistently linked with their substance use. Social networks influence behavior through several mechanisms, especially social norms. This study used sociometric analyses to understand whether social norms of drug use behaviors are clustered in network structures and whether these perceived norms (descriptive and injunctive) influence youths' drug use behaviors. An event-based approach was used to delineate boundaries of the two sociometric networks of homeless youth, one in Los Angeles, CA (n = 160) and the other in Santa Monica, CA (n = 130). Network characteristics included centrality (i.e., popularity) and cohesiveness (location in dense subnetworks). The primary outcome was recent methamphetamine use. Results revealed that both descriptive and injunctive norms influenced methamphetamine use. Network cohesion was found to be associated with perception of both descriptive and injunctive norms in both networks, however in opposite directions. Network interventions therefore might be effective if designed to capitalize on social influence that naturally occurs in cohesive parts of networks.

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Section: Discussionmentioning

confidence: 99%

Sociometric network structure and its association with methamphetamine use norms among homeless youth

Barman‐Adhikari

Begun

Rice

et al. 2016

Social Science Research

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Section: Introductionmentioning

confidence: 99%

“…In a similar vein, conventional models applied to studies of service use propose conceptual models based on individual factors such as motivation, attitudinal perception, and rational evaluation (Carpentier & White, 2002). This theoretical perspective is increasingly being called into question, because it neglects social contexts and interactions linked to the process of help seeking (Carpentier & White, 2002). A network approach to understanding human behavior is able to mitigate the limitations of these narrow theorizations because it operates on the understanding that a person’s social structure is composed of an array of relationships and these relationships influence the way in which people act (Scott & Hofmeyer, 2007).…”

Section: Introductionmentioning

confidence: 99%

Social networks as the context for understanding employment services utilization among homeless youth

Barman‐Adhikari

Rice

2014

Evaluation and Program Planning

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Little is known about the factors associated with use of employment services among homeless youth. Social network characteristics have been known to be influential in motivating people's decision to seek services. Traditional theoretical frameworks applied to studies of service use emphasize individual factors over social contexts and interactions. Using key social network, social capital, and social influence theories, this paper developed an integrated theoretical framework that could capture the social network processes that act as barriers or facilitators of use of employment services by homeless youth, and understand empirically, the salience of each of these constructs in influencing the use of employment services among homeless youth. We used the “Event based-approach” strategy to recruit a sample of 136 homeless youth at one drop-in agency serving homeless youth in Los Angeles, California in 2008. The participants were queried regarding their individual and network characteristics. Data were entered into NetDraw 2.090 and the spring embedder routine was used to generate the network visualizations. Logistic regression was used to assess the influence of the network characteristics on use of employment services. The study findings suggest that social capital is more significant in understanding why homeless youth use employment services, relative to network structure and network influence. In particular, bonding and bridging social capital were found to have differential effects on use of employment services among this population. The results from this study provide specific directions for interventions aimed to increase use of employment services among homeless youth.

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“…Most of the persons in this review were drawn from different hospitals. Among psychiatric outpatients, a less cohesive social structure was associated with a delay in accessing services because of a delay in recognizing psychological problems (13). Others also found among Medicaid beneficiaries that higher social network index scores, based on the number of contacts and frequency of interaction were associated with accessing more inpatient psychiatric care in local hospitals but less inpatient and outpatient services in state psychiatric hospitals (14).…”

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confidence: 99%

The Role of Social Network and Support in Mental Health Service Use: Findings From the Baltimore ECA Study

Maulik¹,

Eaton²,

Bradshaw

2009

120

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Objective A significant number of people with mental illness do not use mental health services to receive treatment for their symptoms. This study examined the hypothesis that social network and social support affect mental health service use. Methods Data were from the Baltimore cohort of the Epidemiologic Catchment Area study, a prospective cohort study that gathered data over four time points. This study examined data gathered in 1993–1996 (N=1,920) and 2004–2005 (N=1,071). The study examined indicators of social network and social support in relation to four types of service use (general medical, mental health within general medical, specialty psychiatric, and other human services) with multivariate logistic regression. Examples of other human services include a self-help group or crisis center for help with any psychological problem. Weighted generalized estimating equations were used for the analyses. Results Among persons with major depressive disorder, generalized anxiety disorder, panic disorder, or alcohol use disorder in the past year or psychological distress in the past few weeks, general medical service use was reduced when the frequency of contact with relatives or friends occurred less than daily, but it was increased by about 40% when there was a higher than median level of spousal support. In contrast, receiving general medical services for mental health problems was reduced by about 50% when there was a higher than median level of social support from relatives. Specialty psychiatric service use was reduced when there was regular contact with six or more relatives and there was a higher than median level of social support from friends and relatives. None of the social network or social support measures were significantly (p≤.01) associated with use of other human services. Conclusions Increased contact with the social network and higher levels of social support were associated with greater use of general medical services. However, more social support was associated with use of fewer services within the specialty psychiatric sector.

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Cohesion of the primary social network and sustained service use before the first psychiatric hospitalization

Cited by 36 publications

References 36 publications

Sociometric network structure and its association with methamphetamine use norms among homeless youth

Sociometric network structure and its association with methamphetamine use norms among homeless youth

Social networks as the context for understanding employment services utilization among homeless youth

The Role of Social Network and Support in Mental Health Service Use: Findings From the Baltimore ECA Study

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