Home > Recovery in homelessness: the influence of choice and mastery on physical health, psychiatric symptoms, alcohol and drug use, and community integration.

Manning, Rachel M and Greenwood, Ronni Michelle (2019) Recovery in homelessness: the influence of choice and mastery on physical health, psychiatric symptoms, alcohol and drug use, and community integration. Psychiatric Rehabilitation Journal , 42 , (2) , pp. 147-157.

OBJECTIVE
Recovery is the process through which one learns to overcome, manage, or live with the negative consequences of physical illness, mental illness, alcohol or drug misuse, or trauma. Homeless individuals endure many, or all, of these experiences. Previous research has shown that characteristics of homeless services, particularly the amount of choice they afford to service users, can influence recovery experiences, potentially by increasing a sense of mastery. The purpose of this study was to test the hypothesis that choice in housing and services would predict recovery in a number of domains, and that these relationships would be mediated by mastery.

METHOD
Using survey data collected from a sample of homeless services users (n = 160) in Ireland, we conducted a series of cross-sectional mediation analyses to predict recovery in domains of physical health, psychiatric symptoms, alcohol and drug use, and community integration.

RESULTS
We observed the hypothesized mediational relationship for each recovery domain except alcohol use. That is, personal mastery mediated the relationship of perceived choice to self-appraised physical health, psychiatric symptoms, drug use, and physical and psychological aspects of community integration, but not alcohol use.

CONCLUSIONS AND IMPLICATIONS FOR PRACTICE
Findings add further support to the growing body of evidence that suggests choice is centrally important to recovery experiences among individuals in homelessness. (PsycINFO Database Record (c) 2019 APA, all rights reserved).


Item Type:Article
Date:2019
Page Range:pp. 147-157
Volume:42
Number:2
EndNote:View
Subjects:A Substance use, abuse, and dependence > Natural history of substance use > Recovery
B Substances > Alcohol
G Health and disease > Substance use disorder > Alcohol use
G Health and disease > Substance use disorder > Drug use
MA-ML Social science, culture and community > Social condition > Homelessness > Homeless services
T Demographic characteristics > Homeless person
VA Geographic area > Europe > Ireland

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