Single-site Supportive Housing: Tenant Perspectives

Parsell, Cameron; Petersen, Maree; Moutou, Ornella

doi:10.1080/02673037.2015.1009874

Cited by 40 publications

(34 citation statements)

References 37 publications

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“…15 In Australia and internationally, PSH with integrated health care is adopted as a solution to chronic homelessness. 16 However, the existing evidence does not demonstrate if and how people who exit chronic homelessness into PSH will use integrated health care. 2 From the perspectives of tenants, the present study contributes to knowledge in two ways: first, by demonstrating how homelessness is experienced as a barrier to adequate healthcare; and, second, by examining how people exiting homelessness use and benefit from integrated health care and supportive housing.…”

Section: Introductionmentioning

confidence: 99%

Self-management of health care: multimethod study of using integrated health care and supportive housing to address systematic barriers for people experiencing homelessness

Parsell

Have

Denton

et al. 2018

Aust. Health Review

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Objectives The aims of the present study were to examine tenants' experiences of a model of integrated health care and supportive housing and to identify whether integrated health care and supportive housing improved self-reported health and healthcare access. Methods The present study used a mixed-method survey design (n=75) and qualitative interviews (n=20) performed between September 2015 and August 2016. Participants were tenants of permanent supportive housing in Brisbane (Qld, Australia). Qualitative data were analysed thematically. Results Integrated health care and supportive housing were resources for tenants to overcome systematic barriers to accessing mainstream health care experienced when homeless. When homeless, people did not have access to resources required to maintain their health. Homelessness meant not having a voice to influence the health care people received; healthcare practitioners treated symptoms of poverty rather than considering how homelessness makes people sick. Integrated healthcare and supportive housing enabled tenants to receive treatment for health problems that were compounded by the barriers to accessing mainstream healthcare that homelessness represented. Conclusions Extending the evidence about housing as a social determinant of health, the present study shows that integrated health care and supportive housing enabled tenants to take control to self-manage their health care. In addition to homelessness directly contributing to ill health, the present study provides evidence of how the experience of homelessness contributes to exclusions from mainstream healthcare. What is known about the topic? People who are homeless experience poor physical and mental health, have unmet health care needs and use disproportionate rates of emergency health services. What does the paper add? The experience of homelessness creates barriers to accessing adequate health care. The provision of onsite multidisciplinary integrated health care in permanent supportive housing enabled illness self-management and greater control over lifestyle, and was associated with self-reported improved health and life satisfaction in formerly homeless tenants. What are the implications for practitioners? Integrated health care and supportive housing for the formerly homeless can improve self-reported health outcomes, enable healthier lifestyle choices and facilitate pathways into more appropriate and effective health care.

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Section: Introductionmentioning

confidence: 99%

Self-management of health care: multimethod study of using integrated health care and supportive housing to address systematic barriers for people experiencing homelessness

Parsell

Have

Denton

et al. 2018

Aust. Health Review

Self Cite

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“…; Parsell et al. ), participants received little support to manage neighbour‐related problems, which were often seen as extremely detrimental to their mental health. While recent initiatives to integrate social housing with privately owned and rented properties (e.g.…”

Section: Discussionmentioning

confidence: 99%

“It's hard work, believe me!”: Active efforts to optimise housing by people who live with mental illness and access housing assistance

Honey

Nugent

Hancock

et al. 2017

Aust J Social Issues

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Secure and appropriate housing is critical for the well‐being of people living with mental illness (consumers). Yet it is often difficult to achieve. Housing assistance is available, but is often difficult for consumers to access and negotiate. While the need for support is well‐recognised, little is known about the active part consumers play in finding and keeping appropriate accommodation. This paper addresses the research question: How do consumers who use housing assistance actively manage their housing situations? In‐depth interviews were conducted with 18 consumers who had used housing assistance within the past five years. These were analysed using constant comparative analysis, based on a grounded theory approach. Participants engaged in a range of activities to address six major concerns: working toward my home; following the rules to keep what I have; managing and improving my accommodation; working with housing services; living within my current situation; and finding and using supports. All participants described times when their mental health negatively affected their ability to do these activities. The findings highlight the need for housing services and mental health services to collaborate to develop policies and protocols that place reasonable demands on consumers and support their abilities to actively manage their housing situations.

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“…Mixed methods. Eight mixed methods studies were found using varied designs, including one exploratory/explanatory (Gilmer et al, 2013), one exploratory (Tsai, Reddy et al, 2014), one descriptive (Holtrop et al, 2013), three case study evaluation (Meschede & Chaganti, 2015;Parsell, Petersen, & Moutou, 2015;Washington, Moxley, & Garriott, 2009), one secondary analysis (Meschede, 2010), and one exploratory descriptive (Gilmer et al, 2014). All of the studies, except one (Parsell et al, 2015), were conducted in the U. S. by medicine, public health, family and child services, social policy and management, and psychiatry.…”

Section: Servicesmentioning

confidence: 99%

“…The samples represented persons with SMI (Gilmer et al, 2014;Meschede, 2010), veterans (Tsai, Reddy et al, 2014;Meschede, 2010), African American women (Washington et al, 2009), providers of service (Gilmer, 2013), Australians (Parsell et al, 2015), and families (Holtrop et al, 2013;Meschede & Chaganti, 2015). Investigators mixed qualitative and quantitative data during data analysis or when reporting interpretation of the findings.…”

Section: Servicesmentioning

confidence: 99%

“…Information from the qualitative data was used to support quantitative findings. Parsell et al (2015) also used case study evaluation, quantitative/qualitative design, to explore perceptions of 120 tenants living in supportive housing, but no interviews of staff were conducted. Both positive and negative aspects of housing transition and services were queried through a quantitative survey followed by five qualitative questions.…”

Section: Exploratory/explanatory/sequential Two Studies Examined Impmentioning

confidence: 99%

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The Lived Experience of Establishing a Home After a Period of Homelessness

Iaquinta¹

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THE LIVED EXPERIENCE OF ESTABLISHING A HOME AFTER A PERIOD OF HOMELESSNESS by Monica Iaquinta The purpose of this qualitative study was to describe the structure of meaning of the lived experience of establishing a home after a period of homelessness. Fourteen semi-structured interviews were conducted using a unique line of inquiry based upon story theory and hermeneutic phenomenology. Questions were posed beginning with the present daily life in a home, followed by the previous experience of homelessness, and ending with establishing a home in the future. Stories were reconstructed, using the participant's own words, and confirmed during a second interview. The data analysis strategies were rooted in the theoretical framework including identifying essential statements, raising statements to abstract core qualities, and explicating themes from the core qualities. A rich, description was composed including the participants' anecdotes. Seven themes were identified including a) journeying on a downward path from having a home to being homeless, b) mustering resourcefulness to move from the street to a home, c) creating a home that is secure and personal, d) grappling with responsibility to hold on to home, e) building relationships that are affirming while setting boundaries, f) recognizing gratitude for life in the present that is peaceful, joyful, and fulfilling, and g) yearning for a future life of promise. The findings of this study may add to the body of nursing knowledge, reduce the gap in the literature, guide nursing practice, and influence local policy development. iii Dedication This manuscript is dedicated to the fourteen persons who candidly described their personal stories of suffering during the experience of homelessness and courage and determination while establishing a home. Persons desired to share information in order to improve understanding and provide hope for others facing similar circumstances. A special dedication to my own family for their love, sacrifice, and understanding, and my father, who despite his passing, has always been a source of inspiration to me. I am grateful for my dissertation committee members for their suggestions and feedback regarding the manuscript including Dr. Gina Maiocco, Dr. Joy Buck, Dr. Marilyn Smith, and Ms. Laura Jones. I am thankful for the School of Nursing faculty for knowledge and guidance, support staff for correspondence and assistance with details important to student life, and agency staff who supported the research study. A sincere thank you is extended to Dean Tara Hulsey for scholarship support in completing this degree including the research grant and Jonas Scholar nomination.

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Single-site Supportive Housing: Tenant Perspectives

Cited by 40 publications

References 37 publications

Self-management of health care: multimethod study of using integrated health care and supportive housing to address systematic barriers for people experiencing homelessness

Self-management of health care: multimethod study of using integrated health care and supportive housing to address systematic barriers for people experiencing homelessness

“It's hard work, believe me!”: Active efforts to optimise housing by people who live with mental illness and access housing assistance

The Lived Experience of Establishing a Home After a Period of Homelessness

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