IDEAS home Printed from https://ideas.repec.org/a/gam/jijerp/v15y2018i3p520-d136319.html
   My bibliography  Save this article

Bread and Shoulders: Reversing the Downward Spiral, a Qualitative Analyses of the Effects of a Housing First-Type Program in France

Author

Listed:
  • Pauline Rhenter

    (Aix-Marseille University, Public Health Research Unit EA 3279, 13005 Marseille, France)

  • Delphine Moreau

    (Research Laboratory, Maison Blanche Hospital, 75018 Paris, France)

  • Christian Laval

    (Aix-Marseille University, Public Health Research Unit EA 3279, 13005 Marseille, France)

  • Jean Mantovani

    (Observatory Regional of Health, Midi Pyrenees, 31000 Toulouse, France)

  • Amandine Albisson

    (Observatory Regional of Health, Midi Pyrenees, 31000 Toulouse, France)

  • Guillaume Suderie

    (Observatory Regional of Health, Midi Pyrenees, 31000 Toulouse, France)

  • French Housing First Study Group

    (French Housing First Study Group, 13000 Marseille, France
    French Housing First Study Group: T. Apostolidis, E. Beetlestone, P. Birmes, T. Bossetti, R. Bouloudnine, B. Combes, J. Debieve, B. Falissard, C. Lancon, P. Le Cardinal, J. Naudin and B. Videau.)

  • Mohamed Boucekine

    (Aix-Marseille University, Public Health Research Unit EA 3279, 13005 Marseille, France
    Department of Research and Innovation, Support Unit for Clinical Research and Economic Evaluation, Public Hospital of Marseille (AP-HM), 13005 Marseille, France)

  • Aurelie Tinland

    (Aix-Marseille University, Public Health Research Unit EA 3279, 13005 Marseille, France
    Community Mental Health Outreach Team, MARS (Movement and Action for Social Recovery), Public Hospital of Marseille (AP-HM), 13005 Marseille, France)

  • Sandrine Loubière

    (Aix-Marseille University, Public Health Research Unit EA 3279, 13005 Marseille, France
    Department of Research and Innovation, Support Unit for Clinical Research and Economic Evaluation, Public Hospital of Marseille (AP-HM), 13005 Marseille, France)

  • Tim Greacen

    (Research Laboratory, Maison Blanche Hospital, 75018 Paris, France)

  • Pascal Auquier

    (Aix-Marseille University, Public Health Research Unit EA 3279, 13005 Marseille, France
    French Housing First Study Group, 13000 Marseille, France)

  • Vincent Girard

    (Aix-Marseille University, Public Health Research Unit EA 3279, 13005 Marseille, France
    Regional Health Agency PACA (ARS), 13002 Marseille, France)

Abstract

This paper is a qualitative analysis of the effects of accompagnement , a support framework, on recovery trajectories of people with long-term homelessness and severe psychiatric disorders during 24 months in a Housing First-type program in France. A comprehensive methodology based on grounded theory was used to construct an interview guide, conduct multiple interviews with 35 Housing First participants sampled for heterogeneity, and produce memos on their trajectories before and after entering the program based on interview information. Thematic analysis of a representative subsample ( n = 13) of memos identified 12 objective factors and 6 subjective factors key to the recovery process. An in-depth re-analysis of the memos generated four recovery themes: (1) the need for secure space favorable to self-reflexivity; (2) a “honeymoon” effect; (3) the importance of even weak social ties; (4) support from and hope among peers. Three challenges to recovery were identified: (1) finding a balance between protection and risk; (2) breaking downward spirals; (3) bifurcating the trajectory. This study provides new insight into the recovery process, understood as a non-linear transformation of an experience—the relationship between objective life conditions and subjective perception of those conditions—which reinforces protective support over risk elements.

Suggested Citation

  • Pauline Rhenter & Delphine Moreau & Christian Laval & Jean Mantovani & Amandine Albisson & Guillaume Suderie & French Housing First Study Group & Mohamed Boucekine & Aurelie Tinland & Sandrine Loubièr, 2018. "Bread and Shoulders: Reversing the Downward Spiral, a Qualitative Analyses of the Effects of a Housing First-Type Program in France," IJERPH, MDPI, vol. 15(3), pages 1-22, March.
    • Handle: RePEc:gam:jijerp:v:15:y:2018:i:3:p:520-:d:136319
    as

    Download full text from publisher

    File URL: https://www.mdpi.com/1660-4601/15/3/520/pdf
    Download Restriction: no
    File URL: https://www.mdpi.com/1660-4601/15/3/520/
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. Henwood, B.F. & Cabassa, L.J. & Craig, C.M. & Padgett, D.K., 2013. "Permanent supportive housing: Addressing homelessness and health disparities?," American Journal of Public Health, American Public Health Association, vol. 103(S2), pages 188-192.
    2. Tsemberis, S. & Gulcur, L. & Nakae, M., 2004. "Housing First, Consumer Choice, and Harm Reduction for Homeless Individuals with a Dual Diagnosis," American Journal of Public Health, American Public Health Association, vol. 94(4), pages 651-656.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Suvi Raitakari & Suvi Holmberg & Kirsi Juhila & Jenni-Mari Räsänen, 2018. "Constructing the Elements of the “Recovery in” Model through Positive Assessments during Mental Health Home Visits," IJERPH, MDPI, vol. 15(7), pages 1-14, July.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Nav Persaud & Liane Steiner & Hannah Woods & Tatiana Aratangy & Susitha Wanigaratne & Jane Polsky & Stephen Hwang & Gurleen Chahal & Andrew Pinto, 2019. "Health outcomes related to the provision of free, tangible goods: A systematic review," PLOS ONE, Public Library of Science, vol. 14(3), pages 1-29, March.
    2. Charles Walsh & Anita M Hubley & Matthew J To & Monica Norena & Anne Gadermann & Susan Farrell & Stephen W Hwang & Anita Palepu, 2019. "The effect of forensic events on health status and housing stability among homeless and vulnerably housed individuals: A cohort study," PLOS ONE, Public Library of Science, vol. 14(2), pages 1-14, February.
    3. Yerko Rojas, 2017. "Evictions and short-term all-cause mortality: a 3-year follow-up study of a middle-aged Swedish population," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 62(3), pages 343-351, April.
    4. McDonald, Keisha & Palimaru, Alina I. & Garvey, Rick & D'Amico, Elizabeth J. & Tucker, Joan S., 2024. "Perceptions from emerging adults with a history of homelessness on their experiences with housing, health and other support services," Children and Youth Services Review, Elsevier, vol. 160(C).
    5. Min Zhou & Wei Guo, 2023. "Self-rated Health and Objective Health Status Among Rural-to-Urban Migrants in China: A Healthy Housing Perspective," Population Research and Policy Review, Springer;Southern Demographic Association (SDA), vol. 42(1), pages 1-24, February.
    6. Patricia M. Chen, 2019. "Housing First and Single-Site Housing," Social Sciences, MDPI, vol. 8(4), pages 1-10, April.
    7. Duff, Cameron & Hill, Nicholas & Blunden, Hazel & valentine, kylie & Randall, Sean & Scutella, Rosanna & Johnson, Guy, 2021. "Leaving rehab: enhancing transitions into stable housing," SocArXiv vypsj, Center for Open Science.
    8. Marta Gaboardi & Michela Lenzi & Francesca Disperati & Massimo Santinello & Alessio Vieno & Aurélie Tinland & Maria J. Vargas-Moniz & Freek Spinnewijn & Branagh R. O’Shaughnessy & Judith R. Wolf & Ann, 2019. "Goals and Principles of Providers Working with People Experiencing Homelessness: A Comparison Between Housing First and Traditional Staircase Services in Eight European Countries," IJERPH, MDPI, vol. 16(9), pages 1-17, May.
    9. Schelbe, Lisa, 2018. "Struggles, successes, and setbacks: Youth aging out of child welfare in a subsidized housing program," Children and Youth Services Review, Elsevier, vol. 89(C), pages 298-308.
    10. Bernet, Alice & Warren, Cristina & Adams, Susie, 2015. "Using a community-based participatory research approach to evaluate resident predictors of involuntary exit from permanent supportive housing," Evaluation and Program Planning, Elsevier, vol. 49(C), pages 63-69.
    11. Semborski, Sara & Redline, Brian & Madden, Danielle & Granger, Theresa & Henwood, Benjamin, 2021. "Housing interventions for emerging adults experiencing homelessness: A scoping review," Children and Youth Services Review, Elsevier, vol. 127(C).
    12. Myra Piat & Lauren Polvere & Maritt Kirst & Jijian Voronka & Denise Zabkiewicz & Marie-Carmen Plante & Corinne Isaak & Danielle Nolin & Geoffrey Nelson & Paula Goering, 2015. "Pathways into homelessness: Understanding how both individual and structural factors contribute to and sustain homelessness in Canada," Urban Studies, Urban Studies Journal Limited, vol. 52(13), pages 2366-2382, October.
    13. Nelson, Geoffrey & Stefancic, Ana & Rae, Jennifer & Townley, Greg & Tsemberis, Sam & Macnaughton, Eric & Aubry, Tim & Distasio, Jino & Hurtubise, Roch & Patterson, Michelle & Stergiopoulos, Vicky & Pi, 2014. "Early implementation evaluation of a multi-site housing first intervention for homeless people with mental illness: A mixed methods approach," Evaluation and Program Planning, Elsevier, vol. 43(C), pages 16-26.
    14. Corinth, Kevin, 2017. "The impact of permanent supportive housing on homeless populations," Journal of Housing Economics, Elsevier, vol. 35(C), pages 69-84.
    15. Chris O'Leary & Rob Ralphs & Jennifer Stevenson & Andrew Smith & Jordan Harrison & Zsolt Kiss & Harry Armitage, 2024. "The effectiveness of abstinence‐based and harm reduction‐based interventions in reducing problematic substance use in adults who are experiencing homelessness in high income countries: A systematic re," Campbell Systematic Reviews, John Wiley & Sons, vol. 20(2), June.
    16. Filipa Maria Reinhardt Andrade & Ana Resende & Maria Clara Roquette-Viana & Amélia Simões Figueiredo, 2024. "Remote Parenting in Families Experiencing, or at Risk of, Homelessness: A Study Based on Grounded Theory," IJERPH, MDPI, vol. 21(9), pages 1-12, September.
    17. Fleury, Marie-Josée & Grenier, Guy & Vallée, Catherine & Hurtubise, Roch & Lévesque, Paul-André, 2014. "The role of advocacy coalitions in a project implementation process: The example of the planning phase of the At Home/Chez Soi project dealing with homelessness in Montreal," Evaluation and Program Planning, Elsevier, vol. 45(C), pages 42-49.
    18. Owczarzak, Jill & Kazi, Asiya K. & Mazhnaya, Alyona & Alpatova, Polina & Zub, Tatyana & Filippova, Olga & Phillips, Sarah D., 2021. "“You're nobody without a piece of paper:” visibility, the state, and access to services among women who use drugs in Ukraine," Social Science & Medicine, Elsevier, vol. 269(C).
    19. Lars Benjaminsen, 2018. "Housing First in Denmark: An Analysis of the Coverage Rate among Homeless People and Types of Shelter Users," Social Inclusion, Cogitatio Press, vol. 6(3), pages 327-336.
    20. Alison L. Weightman & Mark J. Kelson & Ian Thomas & Mala K. Mann & Lydia Searchfield & Simone Willis & Ben Hannigan & Robin J. Smith & Rhiannon Cordiner, 2023. "Exploring the effect of case management in homelessness per components: A systematic review of effectiveness and implementation, with meta‐analysis and thematic synthesis," Campbell Systematic Reviews, John Wiley & Sons, vol. 19(2), June.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:gam:jijerp:v:15:y:2018:i:3:p:520-:d:136319. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: MDPI Indexing Manager (email available below). General contact details of provider: https://www.mdpi.com .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.