Relationship of Community Integration of Persons With Severe Mental Illness and Mental Health Service Intensity

Pahwa, Rohini; Bromley, Elizabeth; Brekke, Benjamin; Gabrielian, Sonya; Braslow, Joel T.; Brekke, John S.

doi:10.1176/appi.ps.201300233

Cited by 32 publications

(38 citation statements)

References 13 publications

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“…(Pahwa et al, 2014) These consumers in sheltered housing may rely exclusively on formal supports in certain housing contexts—or across all housing experiences—it is uncertain if informal supports are displaced by formal supports or if consumers lacked supports altogether prior to sheltered housing. Regardless, it may be disadvantageous for formal supports to displace informal supports, as informal supports more commonly filled certain roles, e.g., emotional support.…”

Section: Discussionmentioning

confidence: 99%

Social support and housing transitions among homeless adults with serious mental illness and substance use disorders.

Gabrielian¹,

Young²,

Greenberg³

et al. 2018

Psychiatric Rehabilitation Journal

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Objective Research suggests that social supports are associated with housing retention among adults who have experienced homelessness. Yet, we know very little about the social support context in consumers find and retain housing. We examined the ways and identified the junctures in which consumers' skills and deficits in accessing and mobilizing social supports influenced their longitudinal housing status. Methods We performed semi-structured qualitative interviews with VA Greater Los Angeles consumers (n=19) with serious mental illness (SMI), substance use disorders (SUD), and a history of homelessness; interviews explored associations between longitudinal housing status (categorized as: stable, independent housing; sheltered housing, continually engaged in structured housing programs; and unstable housing) and social supports. We compared data from consumers in these three mutually exclusive categories. Results All participants described social support as important for finding and maintaining housing. However, participants used formal (provider/case managers) and informal (family/friends) supports in different ways. Participants in stable housing relied on formal and informal supports to obtain/maintain housing. Participants in sheltered housing primarily used formal supports, e.g., case management staff. Unstably housed participants used formal and informal supports, but some of these relationships were superficial or of negative valence. Interpersonal problems were prevalent across longitudinal housing status categories. Conclusions and Implications for Practice Social context, including patterns of formal and informal support, was associated with participants' longitudinal housing status. Within interventions to end homelessness, these findings suggest the value of future research to identify, tailor, and implement practices that can help consumers improve their social resources.

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Section: Discussionmentioning

confidence: 99%

Social support and housing transitions among homeless adults with serious mental illness and substance use disorders.

Gabrielian¹,

Young²,

Greenberg³

et al. 2018

Psychiatric Rehabilitation Journal

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“…This may be a way that individuals try to avoid causing family members the distress or burden tied to suicidal disclosure (Frey & Cerel, ; Jones, Roth, & Jones, ) and is reassuring because mental health providers are better trained to assess and manage suicide risk. It may also reflect that people with serious mental illness feel more integrated into (Pahwa et al., ) and thus more secure disclosing in the mental health community. Third, social network members with whom individuals had closer relationships and those who were sought for social support were also more likely to be confidants for future disclosure.…”

Section: Discussionmentioning

confidence: 99%

“…The internal reliability for the measure was .73 in this study. The scale has been commonly used in research with similar populations, yielding similar reliability evidence (e.g., Pahwa et al., ).…”

Section: Methodsmentioning

confidence: 98%

What Factors Influence the Decision to Share Suicidal Thoughts? A Multilevel Social Network Analysis of Disclosure Among Individuals with Serious Mental Illness

Fulginiti

Pahwa

Frey

et al. 2015

Suicide & Life Threat Behav

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Nondisclosure of suicidal thoughts limits suicide risk management. Consistent with disclosure models for other stigmatized statuses, understanding suicidal disclosure requires accounting for features of the discloser (individual factors) and the discloser-recipient relationship (relational factors). In a sample of 30 adults with schizophrenia, bipolar disorder, or major depressive disorder (Level 2) who nominated 436 social network members (Level 1), we examined disclosure patterns and identified individual and relational correlates of disclosure intent. Most individuals disclosed in the past (77%; n = 23) and all intended on disclosing (100%; n = 30). Disclosure was highly selective, with 14% (n = 62) of network members identified as prior confidants and 23% (n = 99) identified as intended confidants. Multilevel modeling indicated that relational factors were more central to disclosure than individual factors. Network members who were prior confidants and who provided social support were attractive targets for intended disclosure. Our findings suggest that "targeted" gatekeeper training may be a promising strategy and reveal relational characteristics to identify "high-probability confidants."

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“…General health perceptions were captured with the Veterans RAND 12-item Health Survey (VR-12), which assesses perceived physical and mental health. 35,36 Perceived social support was measured with the Medical Outcomes Study-Social Support Survey (MOS-SSS) 37 and the Social Capital Resource Generator 38,39 was used to assess social network resources. As a surrogate for negative supports, we measured stigma with the Perceived Devaluation and Discrimination Scale (PDD).…”

Section: Measures Potential Predictorsmentioning

confidence: 99%

Factors Affecting Exits From Homelessness Among Persons With Serious Mental Illness and Substance Use Disorders

Gabrielian¹,

Bromley²,

Hellemann³

et al. 2015

J. Clin. Psychiatry

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Relationship of Community Integration of Persons With Severe Mental Illness and Mental Health Service Intensity

Abstract: The findings suggest opportunities and possible incongruities in the experience of community integration.

Cited by 32 publications

References 13 publications

Social support and housing transitions among homeless adults with serious mental illness and substance use disorders.

Social support and housing transitions among homeless adults with serious mental illness and substance use disorders.

What Factors Influence the Decision to Share Suicidal Thoughts? A Multilevel Social Network Analysis of Disclosure Among Individuals with Serious Mental Illness

Factors Affecting Exits From Homelessness Among Persons With Serious Mental Illness and Substance Use Disorders

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