Life Course Adversity in the Lives of Formerly Homeless Persons With Serious Mental Illness: Context and Meaning

Deborah K. Padgett, Bikki Tran Smith, Benjamin F. Henwood, Emmy Tiderington

Research output: Contribution to journalArticle

Abstract

This qualitative study assessed the frequency and subjective meaning of adverse experiences using case study analyses of interviews with 38 formerly homeless adults with co-occurring serious mental illness (SMI) and substance abuse histories. Adverse life events were inventoried using an adaptation of Lloyd and Turner's (2008) 41-item checklist. Participants averaged 8.8 adverse events, with approximately one-third having experienced incarceration (37%), suicidality (32%), abandonment by one or both parents (30%), and death of their mother (34%). Cross-case analyses yielded 3 themes: social losses because of death and estrangement; the significance of chronic stressors as well as acute events; and the cumulative lifetime nature of adversity. Findings suggest that life course experiences of trauma and loss have a cumulative influence in the lives of this population in addition and in relation to SMI, substance abuse, and homelessness. In this context, the mental health recovery movement should address prior adverse experiences beyond comorbid diagnoses in this population.

Original languageEnglish (US)
Pages (from-to)421-430
Number of pages10
JournalAmerican Journal of Orthopsychiatry
Volume82
Issue number3
DOIs
StatePublished - Jul 2012

Fingerprint

Homeless Persons
Substance-Related Disorders
Life Change Events
Checklist
Population
Mental Health
Parents
Mothers
Interviews
Wounds and Injuries
Person
Mental Illness
Homeless
Life Course
Substance Abuse
Estrangement
Abandonment
Qualitative Study
J.M.W. Turner
Life Events

Keywords

  • Cumulative adversity
  • Formerly homeless adults
  • Homeless adults
  • Life course adversity
  • Mental illness
  • Poverty
  • Social isolation
  • Social losses
  • Substance abuse

ASJC Scopus subject areas

  • Psychiatry and Mental health
  • Psychology (miscellaneous)
  • Arts and Humanities (miscellaneous)
  • Developmental and Educational Psychology

Cite this

Life Course Adversity in the Lives of Formerly Homeless Persons With Serious Mental Illness : Context and Meaning. / Padgett, Deborah K.; Smith, Bikki Tran; Henwood, Benjamin F.; Tiderington, Emmy.

In: American Journal of Orthopsychiatry, Vol. 82, No. 3, 07.2012, p. 421-430.

Research output: Contribution to journalArticle

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