Discursive Processes Creating Team Culture and Recovery Orientation among Housing First Providers

Stacey Barrenger, Victoria Stanhope, Kendall Atterbury

    Research output: Contribution to journalArticle

    Abstract

    A recovery orientation is imperative in mental health services. While structural aspects of programs can influence service providers orientation to recovery principles, team culture as exemplified by staff attitudes, values, and beliefs is central to the incorporation of recovery principles in everyday practice. Using Fine's (1979) idioculture framework, this study examined the discursive process in team meetings at a housing first program. Researchers observed team meetings and conducted in-depth, semistructured interviews with case managers from two assertive community treatment teams. Open coding identified categories indicating discursive processes grounded in the recovery language and higher-level coding derived intersubjective themes related to the use of recovery oriented culture during team meetings. Discursive processes included giving benefit of the doubt, withholding judgment, celebrating small things, and accentuating the positive and softening the negative. Using these discursive practices, the team navigated triggering events from landlords and providers by engaging in language that defused situations, normalized behaviors, and recognized residents successes, which served to facilitate positive discussions about residents rather than pathologizing their behaviors. Understanding the underlying processes contributing to team culture can inform and facilitate the implementation of recovery-oriented practice.

    Original languageEnglish (US)
    Pages (from-to)247-264
    Number of pages18
    JournalAmerican Journal of Psychiatric Rehabilitation
    Volume18
    Issue number3
    DOIs
    StatePublished - Jul 3 2015

    Fingerprint

    Language
    Attitude of Health Personnel
    Community Mental Health Services
    Mental Health Services
    Research Personnel
    Interviews
    Case Managers

    Keywords

    • Ethnographic methods
    • Housing First
    • Recovery orientation
    • Teamculture

    ASJC Scopus subject areas

    • Psychiatry and Mental health
    • Rehabilitation

    Cite this

    Discursive Processes Creating Team Culture and Recovery Orientation among Housing First Providers. / Barrenger, Stacey; Stanhope, Victoria; Atterbury, Kendall.

    In: American Journal of Psychiatric Rehabilitation, Vol. 18, No. 3, 03.07.2015, p. 247-264.

    Research output: Contribution to journalArticle

    Barrenger, Stacey ; Stanhope, Victoria ; Atterbury, Kendall. / Discursive Processes Creating Team Culture and Recovery Orientation among Housing First Providers. In: American Journal of Psychiatric Rehabilitation. 2015 ; Vol. 18, No. 3. pp. 247-264.
    @article{8f8e422e3e0945d29c71140d494fff68,
    title = "Discursive Processes Creating Team Culture and Recovery Orientation among Housing First Providers",
    abstract = "A recovery orientation is imperative in mental health services. While structural aspects of programs can influence service providers orientation to recovery principles, team culture as exemplified by staff attitudes, values, and beliefs is central to the incorporation of recovery principles in everyday practice. Using Fine's (1979) idioculture framework, this study examined the discursive process in team meetings at a housing first program. Researchers observed team meetings and conducted in-depth, semistructured interviews with case managers from two assertive community treatment teams. Open coding identified categories indicating discursive processes grounded in the recovery language and higher-level coding derived intersubjective themes related to the use of recovery oriented culture during team meetings. Discursive processes included giving benefit of the doubt, withholding judgment, celebrating small things, and accentuating the positive and softening the negative. Using these discursive practices, the team navigated triggering events from landlords and providers by engaging in language that defused situations, normalized behaviors, and recognized residents successes, which served to facilitate positive discussions about residents rather than pathologizing their behaviors. Understanding the underlying processes contributing to team culture can inform and facilitate the implementation of recovery-oriented practice.",
    keywords = "Ethnographic methods, Housing First, Recovery orientation, Teamculture",
    author = "Stacey Barrenger and Victoria Stanhope and Kendall Atterbury",
    year = "2015",
    month = "7",
    day = "3",
    doi = "10.1080/15487768.2014.954163",
    language = "English (US)",
    volume = "18",
    pages = "247--264",
    journal = "American Journal of Psychiatric Rehabilitation",
    issn = "1548-7768",
    publisher = "Routledge",
    number = "3",

    }

    TY - JOUR

    T1 - Discursive Processes Creating Team Culture and Recovery Orientation among Housing First Providers

    AU - Barrenger, Stacey

    AU - Stanhope, Victoria

    AU - Atterbury, Kendall

    PY - 2015/7/3

    Y1 - 2015/7/3

    N2 - A recovery orientation is imperative in mental health services. While structural aspects of programs can influence service providers orientation to recovery principles, team culture as exemplified by staff attitudes, values, and beliefs is central to the incorporation of recovery principles in everyday practice. Using Fine's (1979) idioculture framework, this study examined the discursive process in team meetings at a housing first program. Researchers observed team meetings and conducted in-depth, semistructured interviews with case managers from two assertive community treatment teams. Open coding identified categories indicating discursive processes grounded in the recovery language and higher-level coding derived intersubjective themes related to the use of recovery oriented culture during team meetings. Discursive processes included giving benefit of the doubt, withholding judgment, celebrating small things, and accentuating the positive and softening the negative. Using these discursive practices, the team navigated triggering events from landlords and providers by engaging in language that defused situations, normalized behaviors, and recognized residents successes, which served to facilitate positive discussions about residents rather than pathologizing their behaviors. Understanding the underlying processes contributing to team culture can inform and facilitate the implementation of recovery-oriented practice.

    AB - A recovery orientation is imperative in mental health services. While structural aspects of programs can influence service providers orientation to recovery principles, team culture as exemplified by staff attitudes, values, and beliefs is central to the incorporation of recovery principles in everyday practice. Using Fine's (1979) idioculture framework, this study examined the discursive process in team meetings at a housing first program. Researchers observed team meetings and conducted in-depth, semistructured interviews with case managers from two assertive community treatment teams. Open coding identified categories indicating discursive processes grounded in the recovery language and higher-level coding derived intersubjective themes related to the use of recovery oriented culture during team meetings. Discursive processes included giving benefit of the doubt, withholding judgment, celebrating small things, and accentuating the positive and softening the negative. Using these discursive practices, the team navigated triggering events from landlords and providers by engaging in language that defused situations, normalized behaviors, and recognized residents successes, which served to facilitate positive discussions about residents rather than pathologizing their behaviors. Understanding the underlying processes contributing to team culture can inform and facilitate the implementation of recovery-oriented practice.

    KW - Ethnographic methods

    KW - Housing First

    KW - Recovery orientation

    KW - Teamculture

    UR - http://www.scopus.com/inward/record.url?scp=84940391677&partnerID=8YFLogxK

    UR - http://www.scopus.com/inward/citedby.url?scp=84940391677&partnerID=8YFLogxK

    U2 - 10.1080/15487768.2014.954163

    DO - 10.1080/15487768.2014.954163

    M3 - Article

    VL - 18

    SP - 247

    EP - 264

    JO - American Journal of Psychiatric Rehabilitation

    JF - American Journal of Psychiatric Rehabilitation

    SN - 1548-7768

    IS - 3

    ER -