Skip to main content
Top
Published in: Administration and Policy in Mental Health and Mental Health Services Research 1/2018

01-01-2018 | Original Article

“The Apartment is for You, It’s Not for Anyone Else”: Managing Social Recovery and Risk on the Frontlines of Single-Adult Supportive Housing

Author: Emmy Tiderington

Published in: Administration and Policy in Mental Health and Mental Health Services Research | Issue 1/2018

Login to get access

Abstract

This multi-method qualitative study examines frontline provider perspectives on consumer social relationships and barriers to social recovery in supportive housing programs for adults with serious mental illness. Thematic analyses show that guest and occupancy policies that enforce the “single” nature of single-adult supportive housing challenge consumer rights to self-determination in the realm of social recovery. Findings also highlight the ways in which providers act to reinforce and subvert these policies while mitigating risk in this service setting. Recommendations for enhancing the recovery orientation of supportive housing and implications for the design of the homeless service system are discussed.
Literature
go back to reference Baer, J. S., Garrett, S. B., Beadnell, B., Wells, E. A., & Peterson, P. L. (2007). Brief motivational intervention with homeless adolescents: Evaluating effects on substance use and service utilization. Psychology of Addictive Behaviors, 21(4), 582.CrossRefPubMed Baer, J. S., Garrett, S. B., Beadnell, B., Wells, E. A., & Peterson, P. L. (2007). Brief motivational intervention with homeless adolescents: Evaluating effects on substance use and service utilization. Psychology of Addictive Behaviors, 21(4), 582.CrossRefPubMed
go back to reference Barrow, S., McMullin, L., Tripp, J., & Tsemberis, S. (2007). Consumer integration and self-determination in homelessness research, policy, planning, and services. Paper presented at the 2007 National Homelessness Conference, Washington, DC: Author. Barrow, S., McMullin, L., Tripp, J., & Tsemberis, S. (2007). Consumer integration and self-determination in homelessness research, policy, planning, and services. Paper presented at the 2007 National Homelessness Conference, Washington, DC: Author.
go back to reference Barrow, S. M., & Laborde, N. D. (2008). Invisible mothers: Parenting by homeless women separated from their children. Gender Issues, 25(3), 157–172.CrossRef Barrow, S. M., & Laborde, N. D. (2008). Invisible mothers: Parenting by homeless women separated from their children. Gender Issues, 25(3), 157–172.CrossRef
go back to reference Boyatzis, R. E. (1998). Transforming qualitative information: Thematic analysis and code development. Thousand Oaks, CA: Sage. Boyatzis, R. E. (1998). Transforming qualitative information: Thematic analysis and code development. Thousand Oaks, CA: Sage.
go back to reference Copeland, M. E. (2002). Wellness recovery action plan: A system for monitoring, reducing and eliminating uncomfortable or dangerous physical symptoms and emotional feelings. Occupational Therapy in Mental Health, 17(3–4), 127–150.CrossRef Copeland, M. E. (2002). Wellness recovery action plan: A system for monitoring, reducing and eliminating uncomfortable or dangerous physical symptoms and emotional feelings. Occupational Therapy in Mental Health, 17(3–4), 127–150.CrossRef
go back to reference Crystal, S. (1984). Homeless men and homeless women: The gender gap. Urban and Social Change Review, 17(2), 2–6. Crystal, S. (1984). Homeless men and homeless women: The gender gap. Urban and Social Change Review, 17(2), 2–6.
go back to reference D’Ercole, A., & Struening, E. L. (1992). Victimization among homeless women: Implications for service delivery. Journal of Community Psychology, 18, 141–152.CrossRef D’Ercole, A., & Struening, E. L. (1992). Victimization among homeless women: Implications for service delivery. Journal of Community Psychology, 18, 141–152.CrossRef
go back to reference Davidson, L., Rowe, M., Tondora, J., O’Connell, M. J., & Lawless, M. S. (2008). A practical guide to recovery-oriented practice: Tools for transforming mental health care. New York, NY: Oxford University Press, Inc. Davidson, L., Rowe, M., Tondora, J., O’Connell, M. J., & Lawless, M. S. (2008). A practical guide to recovery-oriented practice: Tools for transforming mental health care. New York, NY: Oxford University Press, Inc.
go back to reference Deegan, P. E. (1996). Recovery as a journey of the heart. Psychiatric Rehabilitation Journal, 19(3), 91–97.CrossRef Deegan, P. E. (1996). Recovery as a journey of the heart. Psychiatric Rehabilitation Journal, 19(3), 91–97.CrossRef
go back to reference DiBlasio, F. A., & Belcher, J. R. (1992). Keeping homeless families together: Examining their needs. Children and Youth Services Review, 14, 427–438.CrossRef DiBlasio, F. A., & Belcher, J. R. (1992). Keeping homeless families together: Examining their needs. Children and Youth Services Review, 14, 427–438.CrossRef
go back to reference Friedrich, R. M., Hollingsworth, B., Hradek, E., Friedrich, H. B., & Culp, K. R. (1999). Family and client perspectives on alternative residential settings for persons with severe mental illness. Psychiatric Services, 50, 509–514.CrossRefPubMed Friedrich, R. M., Hollingsworth, B., Hradek, E., Friedrich, H. B., & Culp, K. R. (1999). Family and client perspectives on alternative residential settings for persons with severe mental illness. Psychiatric Services, 50, 509–514.CrossRefPubMed
go back to reference Gillis, L., Dickerson, G., & Hanson, J. (2010). Recovery and homeless services: New directions for the field. Open Health Services and Policy Journal, 3, 71–79.CrossRef Gillis, L., Dickerson, G., & Hanson, J. (2010). Recovery and homeless services: New directions for the field. Open Health Services and Policy Journal, 3, 71–79.CrossRef
go back to reference Kusenbach, M. (2003). Street phenomenology: The go-along as ethnographic research tool. Ethnography, 4(3), 455–485.CrossRef Kusenbach, M. (2003). Street phenomenology: The go-along as ethnographic research tool. Ethnography, 4(3), 455–485.CrossRef
go back to reference Lipsky, M. (2010). Street-level bureaucracy, 30th Ann. Ed.: Dilemmas of the individual in public service. New York, NY: Russell Sage Foundation. Lipsky, M. (2010). Street-level bureaucracy, 30th Ann. Ed.: Dilemmas of the individual in public service. New York, NY: Russell Sage Foundation.
go back to reference Locke, G., Khadduri, J., & O’Hara, A. (2007). Housing models. Washington, DC: National Symposium on Homelessness Research. Locke, G., Khadduri, J., & O’Hara, A. (2007). Housing models. Washington, DC: National Symposium on Homelessness Research.
go back to reference Mezzina, R., Davidson, L., Borg, M., Marin, I., Topor, A., & Sells, D. (2006). The social nature of recovery. American Journal of Psychiatric Rehabilitation, 9, 63–80.CrossRef Mezzina, R., Davidson, L., Borg, M., Marin, I., Topor, A., & Sells, D. (2006). The social nature of recovery. American Journal of Psychiatric Rehabilitation, 9, 63–80.CrossRef
go back to reference Nelson, G., Hall, G. B., Squire, D., & Walsh-Bower, R. T. (1992). Social network transactions of psychiatric patients. Social Science and Medicine, 34, 443–445.CrossRef Nelson, G., Hall, G. B., Squire, D., & Walsh-Bower, R. T. (1992). Social network transactions of psychiatric patients. Social Science and Medicine, 34, 443–445.CrossRef
go back to reference Padgett, D. K. (2016). Qualitative methods in social work research (3rd ed.). Los Angeles: Sage. Padgett, D. K. (2016). Qualitative methods in social work research (3rd ed.). Los Angeles: Sage.
go back to reference Padgett, D. K., Henwood, B., Abrams, C., & Drake, R. E. (2008). Social relationships among persons who have experienced serious mental illness, substance abuse, and homelessness: Implications for recovery. American Journal of Orthopsychiatry, 78(3), 333–339.CrossRefPubMed Padgett, D. K., Henwood, B., Abrams, C., & Drake, R. E. (2008). Social relationships among persons who have experienced serious mental illness, substance abuse, and homelessness: Implications for recovery. American Journal of Orthopsychiatry, 78(3), 333–339.CrossRefPubMed
go back to reference Padgett, D. K., Tiderington, E., Smith, B. T., Derejko, K. S., & Henwood, B. F. (2016). Complex recovery: Understanding the lives of formerly homeless adults with complex needs. Journal of Social Distress and the Homeless, 1–11. Padgett, D. K., Tiderington, E., Smith, B. T., Derejko, K. S., & Henwood, B. F. (2016). Complex recovery: Understanding the lives of formerly homeless adults with complex needs. Journal of Social Distress and the Homeless, 1–11.
go back to reference Rog, D. J., Marshall, T., Dougherty, R. H., George, P., Daniels, A. S., Ghose, S. S., & Delphin-Rittmon, M. E. (2014). Permanent supportive housing: Assessing the evidence. Psychiatric Services, 65(3), 287–294.CrossRefPubMed Rog, D. J., Marshall, T., Dougherty, R. H., George, P., Daniels, A. S., Ghose, S. S., & Delphin-Rittmon, M. E. (2014). Permanent supportive housing: Assessing the evidence. Psychiatric Services, 65(3), 287–294.CrossRefPubMed
go back to reference Rosenheck, R., Bassuk, E., & Salomon, A. (1999). Special populations of homeless Americans. In Practical lessons: The 1998 National Symposium on Homelessness. Washington, DC: US Department of Housing and Urban Development and the US Department of Health and Human Services. Rosenheck, R., Bassuk, E., & Salomon, A. (1999). Special populations of homeless Americans. In Practical lessons: The 1998 National Symposium on Homelessness. Washington, DC: US Department of Housing and Urban Development and the US Department of Health and Human Services.
go back to reference Saldaña, J. (2012). The coding manual for qualitative researchers (2nd ed.). London: Sage. Saldaña, J. (2012). The coding manual for qualitative researchers (2nd ed.). London: Sage.
go back to reference Sandelowski, M., & Barroso, J. (2002). Reading qualitative studies. International Journal of Qualitative Methods, 1(1), 74–108.CrossRef Sandelowski, M., & Barroso, J. (2002). Reading qualitative studies. International Journal of Qualitative Methods, 1(1), 74–108.CrossRef
go back to reference Sheedy, C. K., & Whitter, M. (2009). Guiding principles and elements of recovery-oriented systems of care: What do we know from the research? HHS Publication No. (SMA) 09–4439. Rockville, MD: Center for Substance Abuse Treatment. Substance Abuse and Mental Health Services Administration. Sheedy, C. K., & Whitter, M. (2009). Guiding principles and elements of recovery-oriented systems of care: What do we know from the research? HHS Publication No. (SMA) 09–4439. Rockville, MD: Center for Substance Abuse Treatment. Substance Abuse and Mental Health Services Administration.
go back to reference Shinn, M., & Weitzman, B. (1996). Homeless families are different. In J. Baumohl (Ed.), Homelessness in America: A reference book. National Coalition for the Homeless and Oryx Press. Shinn, M., & Weitzman, B. (1996). Homeless families are different. In J. Baumohl (Ed.), Homelessness in America: A reference book. National Coalition for the Homeless and Oryx Press.
go back to reference Siegel, C. E., Samuels, J., Tang, D., Berg, I., Jones, K., & Hopper, K. (2006). Tenant outcomes in supported housing and community residences in New York City. Psychiatric Services, 57, 982–991.CrossRefPubMed Siegel, C. E., Samuels, J., Tang, D., Berg, I., Jones, K., & Hopper, K. (2006). Tenant outcomes in supported housing and community residences in New York City. Psychiatric Services, 57, 982–991.CrossRefPubMed
go back to reference Smith, E. M., & North, C. S. (1994). Not all homeless women are alike: Effects of motherhood and the presence of children. Community Mental Health Journal, 30(6), 601–610.CrossRefPubMed Smith, E. M., & North, C. S. (1994). Not all homeless women are alike: Effects of motherhood and the presence of children. Community Mental Health Journal, 30(6), 601–610.CrossRefPubMed
go back to reference Spaniol, L., Wewiorski, N. J., Gagne, C., & Anthony, W. A. (2002). The process of recovery from schizophrenia. International Review of Psychiatry, 14, 327–336.CrossRef Spaniol, L., Wewiorski, N. J., Gagne, C., & Anthony, W. A. (2002). The process of recovery from schizophrenia. International Review of Psychiatry, 14, 327–336.CrossRef
go back to reference Stefancic, A. (2014). “If I stay by myself, I feel safer”: Dilemmas of social connectedness among persons with psychiatric disabilities in Housing First. Retrieved from Columbia University Academic Commons, doi:10.7916/D83B5XSS. Stefancic, A. (2014). “If I stay by myself, I feel safer”: Dilemmas of social connectedness among persons with psychiatric disabilities in Housing First. Retrieved from Columbia University Academic Commons, doi:10.​7916/​D83B5XSS.
go back to reference Substance Abuse and Mental Health Services Administration (2003). Blueprint for change: Ending chronic homelessness for persons with serious mental illness and co-occurring substance use disorders. (DHHS Pub. No. SMA04-3870). Rockville, MD: Center for Mental Health Services. Substance Abuse and Mental Health Services Administration. Substance Abuse and Mental Health Services Administration (2003). Blueprint for change: Ending chronic homelessness for persons with serious mental illness and co-occurring substance use disorders. (DHHS Pub. No. SMA04-3870). Rockville, MD: Center for Mental Health Services. Substance Abuse and Mental Health Services Administration.
go back to reference Tiderington, E. (2015a). “We always think you’re here permanently”: The paradox of “permanent” housing and other barriers to recovery-oriented practice in supportive housing services. Administration and Policy in Mental Health and Mental Health Services Research. doi:10.1007/s10488-015-0707-0. Tiderington, E. (2015a). “We always think you’re here permanently”: The paradox of “permanent” housing and other barriers to recovery-oriented practice in supportive housing services. Administration and Policy in Mental Health and Mental Health Services Research. doi:10.​1007/​s10488-015-0707-0.
go back to reference Tiderington, E. (2015b). The dilemmas of permanency and accountability: A qualitative investigation of barriers to and facilitators of recovery-oriented practice in supportive housing (Doctoral dissertation). Retreived from ProQuest Dissertations & Theses Global. (Order No. 3721212). Tiderington, E. (2015b). The dilemmas of permanency and accountability: A qualitative investigation of barriers to and facilitators of recovery-oriented practice in supportive housing (Doctoral dissertation). Retreived from ProQuest Dissertations & Theses Global. (Order No. 3721212).
go back to reference Topor, A., Borg, M., Mezzina, R., Sells, D., Marin, I., & Davidson, L. (2006). Others: The role of family, friends, and professionals in the recovery process. American Journal of Psychiatric Rehabilitation, 9(1), 17–37.CrossRef Topor, A., Borg, M., Mezzina, R., Sells, D., Marin, I., & Davidson, L. (2006). Others: The role of family, friends, and professionals in the recovery process. American Journal of Psychiatric Rehabilitation, 9(1), 17–37.CrossRef
go back to reference Tsemberis, S. (1999). From streets to homes: An innovative approach to supported housing for homeless adults with psychiatric disabilities. Journal of Community Psychology, 27(2), 225–241.CrossRef Tsemberis, S. (1999). From streets to homes: An innovative approach to supported housing for homeless adults with psychiatric disabilities. Journal of Community Psychology, 27(2), 225–241.CrossRef
go back to reference Tsemberis, S. (2010). Housing first: Ending homelessness promoting recovery and reducing costs in I. In G. Ellen & B. O’Flaherty (Eds.), How to house the homeless. New York: Russell Sage Foundation. Tsemberis, S. (2010). Housing first: Ending homelessness promoting recovery and reducing costs in I. In G. Ellen & B. O’Flaherty (Eds.), How to house the homeless. New York: Russell Sage Foundation.
go back to reference U.S. Department of Health and Human Services. (2003). The President’s New Freedom Commission on Mental Health. Achieving the promise: Transforming mental health care in America. Final Report. (DHHS Pub. No. SMA-03-3832). Rockville, MD: Author. U.S. Department of Health and Human Services. (2003). The President’s New Freedom Commission on Mental Health. Achieving the promise: Transforming mental health care in America. Final Report. (DHHS Pub. No. SMA-03-3832). Rockville, MD: Author.
go back to reference Whitley, R., & Drake, R. E. (2010). Recovery: A dimensional approach. Psychiatric Services, 61(10), 1248–1250.CrossRefPubMed Whitley, R., & Drake, R. E. (2010). Recovery: A dimensional approach. Psychiatric Services, 61(10), 1248–1250.CrossRefPubMed
go back to reference Yanos, P., Rosenfield, S., & Horwitz, A. (2001). Negative and supportive social interactions and quality of life among persons diagnosed with severe mental illness. Community Mental Health Journal, 37, 405–419.CrossRefPubMed Yanos, P., Rosenfield, S., & Horwitz, A. (2001). Negative and supportive social interactions and quality of life among persons diagnosed with severe mental illness. Community Mental Health Journal, 37, 405–419.CrossRefPubMed
go back to reference Yanos, P. T., Barrow, S. M., & Tsemberis, S. (2004). Community integration in the early phase of housing among homeless persons diagnosed with severe mental illness: Successes and challenges. Community Mental Health Journal, 40(2), 133–150.CrossRefPubMed Yanos, P. T., Barrow, S. M., & Tsemberis, S. (2004). Community integration in the early phase of housing among homeless persons diagnosed with severe mental illness: Successes and challenges. Community Mental Health Journal, 40(2), 133–150.CrossRefPubMed
go back to reference Zlotnick, C., Tam, T., & Bradley, K. (2007). Impact of adulthood trauma on homeless mothers. Community Mental Health Journal, 43(1), 13–32.CrossRefPubMed Zlotnick, C., Tam, T., & Bradley, K. (2007). Impact of adulthood trauma on homeless mothers. Community Mental Health Journal, 43(1), 13–32.CrossRefPubMed
Metadata
Title
“The Apartment is for You, It’s Not for Anyone Else”: Managing Social Recovery and Risk on the Frontlines of Single-Adult Supportive Housing
Author
Emmy Tiderington
Publication date
01-01-2018
Publisher
Springer US
Published in
Administration and Policy in Mental Health and Mental Health Services Research / Issue 1/2018
Print ISSN: 0894-587X
Electronic ISSN: 1573-3289
DOI
https://doi.org/10.1007/s10488-016-0780-z

Other articles of this Issue 1/2018

Administration and Policy in Mental Health and Mental Health Services Research 1/2018 Go to the issue