Social Relationships Among Persons Who Have Experienced Serious Mental Illness, Substance Abuse, and Homelessness

Implications for Recovery

Deborah K. Padgett, Ben Henwood, Courtney Abrams, Robert E. Drake

Research output: Contribution to journalArticle

Abstract

The new paradigm of recovery has highlighted the importance of positive social relationships, but little is known about their role in recovery among homeless individuals with serious mental illness and comorbid substance abuse. This study used within- and across-case analyses of longitudinal data from qualitative interviews with 41 dually diagnosed individuals entering residential programs to exit homelessness and receive needed services. Thematic findings include (a) "loner talk" and the need for privacy; (b) family ties as "good news, bad news"; (c) when it comes to a partner, other things come first; and (d) in search of positive people. Analyses of change in individual trajectories revealed that stronger social relationships did not coincide exactly with positive outcomes. Although positive life changes were gradual, negative changes could be precipitous. Social relationships were threatened by concentrated disadvantage, that is, a lack of social and economic currency. Findings are discussed with implications for improving services for the most vulnerable individuals who stand to benefit from the era of recovery.

Original languageEnglish (US)
Pages (from-to)333-339
Number of pages7
JournalAmerican Journal of Orthopsychiatry
Volume78
Issue number3
DOIs
StatePublished - Jul 2008

Fingerprint

Homeless Persons
Privacy
Substance-Related Disorders
Economics
Interviews
Person
Mental Illness
Recovery
Substance Abuse
Social Relationships
Homelessness

Keywords

  • recovery
  • serious mental illness
  • social relationships
  • substance abuse

ASJC Scopus subject areas

  • Psychiatry and Mental health
  • Psychology (miscellaneous)

Cite this

Social Relationships Among Persons Who Have Experienced Serious Mental Illness, Substance Abuse, and Homelessness : Implications for Recovery. / Padgett, Deborah K.; Henwood, Ben; Abrams, Courtney; Drake, Robert E.

In: American Journal of Orthopsychiatry, Vol. 78, No. 3, 07.2008, p. 333-339.

Research output: Contribution to journalArticle

@article{510d3e3caf20436398bf26b18e7bd8f8,
title = "Social Relationships Among Persons Who Have Experienced Serious Mental Illness, Substance Abuse, and Homelessness: Implications for Recovery",
abstract = "The new paradigm of recovery has highlighted the importance of positive social relationships, but little is known about their role in recovery among homeless individuals with serious mental illness and comorbid substance abuse. This study used within- and across-case analyses of longitudinal data from qualitative interviews with 41 dually diagnosed individuals entering residential programs to exit homelessness and receive needed services. Thematic findings include (a) {"}loner talk{"} and the need for privacy; (b) family ties as {"}good news, bad news{"}; (c) when it comes to a partner, other things come first; and (d) in search of positive people. Analyses of change in individual trajectories revealed that stronger social relationships did not coincide exactly with positive outcomes. Although positive life changes were gradual, negative changes could be precipitous. Social relationships were threatened by concentrated disadvantage, that is, a lack of social and economic currency. Findings are discussed with implications for improving services for the most vulnerable individuals who stand to benefit from the era of recovery.",
keywords = "recovery, serious mental illness, social relationships, substance abuse",
author = "Padgett, {Deborah K.} and Ben Henwood and Courtney Abrams and Drake, {Robert E.}",
year = "2008",
month = "7",
doi = "10.1037/a0014155",
language = "English (US)",
volume = "78",
pages = "333--339",
journal = "American Journal of Orthopsychiatry",
issn = "0002-9432",
publisher = "American Orthopsychiatric Association Inc.",
number = "3",

}

TY - JOUR

T1 - Social Relationships Among Persons Who Have Experienced Serious Mental Illness, Substance Abuse, and Homelessness

T2 - Implications for Recovery

AU - Padgett, Deborah K.

AU - Henwood, Ben

AU - Abrams, Courtney

AU - Drake, Robert E.

PY - 2008/7

Y1 - 2008/7

N2 - The new paradigm of recovery has highlighted the importance of positive social relationships, but little is known about their role in recovery among homeless individuals with serious mental illness and comorbid substance abuse. This study used within- and across-case analyses of longitudinal data from qualitative interviews with 41 dually diagnosed individuals entering residential programs to exit homelessness and receive needed services. Thematic findings include (a) "loner talk" and the need for privacy; (b) family ties as "good news, bad news"; (c) when it comes to a partner, other things come first; and (d) in search of positive people. Analyses of change in individual trajectories revealed that stronger social relationships did not coincide exactly with positive outcomes. Although positive life changes were gradual, negative changes could be precipitous. Social relationships were threatened by concentrated disadvantage, that is, a lack of social and economic currency. Findings are discussed with implications for improving services for the most vulnerable individuals who stand to benefit from the era of recovery.

AB - The new paradigm of recovery has highlighted the importance of positive social relationships, but little is known about their role in recovery among homeless individuals with serious mental illness and comorbid substance abuse. This study used within- and across-case analyses of longitudinal data from qualitative interviews with 41 dually diagnosed individuals entering residential programs to exit homelessness and receive needed services. Thematic findings include (a) "loner talk" and the need for privacy; (b) family ties as "good news, bad news"; (c) when it comes to a partner, other things come first; and (d) in search of positive people. Analyses of change in individual trajectories revealed that stronger social relationships did not coincide exactly with positive outcomes. Although positive life changes were gradual, negative changes could be precipitous. Social relationships were threatened by concentrated disadvantage, that is, a lack of social and economic currency. Findings are discussed with implications for improving services for the most vulnerable individuals who stand to benefit from the era of recovery.

KW - recovery

KW - serious mental illness

KW - social relationships

KW - substance abuse

UR - http://www.scopus.com/inward/record.url?scp=58249090843&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=58249090843&partnerID=8YFLogxK

U2 - 10.1037/a0014155

DO - 10.1037/a0014155

M3 - Article

VL - 78

SP - 333

EP - 339

JO - American Journal of Orthopsychiatry

JF - American Journal of Orthopsychiatry

SN - 0002-9432

IS - 3

ER -