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Distal supports, capabilities, and growth‐focused recovery: A comparison of housing first and the staircase continuum of care

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Resumo:Adults who have substantial histories of homelessness and complex support needsmay feel ambivalent about integrating into their communities and find it difficultto do so. Being familiar to and recognized by others as a resident in aneighborhood or community are sources of “distal support” that provideindividuals with feelings of belonging to their community and are important torecovery from homelessness. We hypothesized that individuals engaged withHousing First (HF) programs would report more distal support than individualsengaged with traditional homeless services (treatment as usual, TAU), and thatdistal support would predict more community integration, growth‐relatedrecovery, and achieved capabilities. We analyzed data collected from homelessservices users (n = 445) engaged with either HF or TAU in eight Europeancountries. Measures included achieved capabilities, growth‐focused recovery,distal supports, and community integration. Serial mediation analyses confirmedour hypothesis that the effects of HF on growth‐related recovery and achievedcapabilities are indirect, mediated by distal supports and community integration.Findings are discussed in relation to the importance of modeling the effects of HFon social and psychological outcomes as indirect and identifying importantmediators that translate the effects of HF components on social andpsychological outcomes. We also note the importance of case managementactivities that encourage clients to develop and sustain distal supports with otherswho live and work in their neighborhoods
Autores principais:Greenwood, Ronni Michelle
Outros Autores:O'Shaughnessy, Branagh R.; Manning, Rachel; Hogan, Niamh; Vargas‐Moniz, Maria J.; Ornelas, José
Assunto:Achieved capabilities Community integration Distal supports, Housing first Recovery
Ano:2024
País:Portugal
Tipo de documento:artigo
Tipo de acesso:acesso restrito
Instituição associada:Ispa-Instituto Universitário
Idioma:inglês
Origem:Repositório do Ispa - Instituto Universitário
Descrição
Resumo:Adults who have substantial histories of homelessness and complex support needsmay feel ambivalent about integrating into their communities and find it difficultto do so. Being familiar to and recognized by others as a resident in aneighborhood or community are sources of “distal support” that provideindividuals with feelings of belonging to their community and are important torecovery from homelessness. We hypothesized that individuals engaged withHousing First (HF) programs would report more distal support than individualsengaged with traditional homeless services (treatment as usual, TAU), and thatdistal support would predict more community integration, growth‐relatedrecovery, and achieved capabilities. We analyzed data collected from homelessservices users (n = 445) engaged with either HF or TAU in eight Europeancountries. Measures included achieved capabilities, growth‐focused recovery,distal supports, and community integration. Serial mediation analyses confirmedour hypothesis that the effects of HF on growth‐related recovery and achievedcapabilities are indirect, mediated by distal supports and community integration.Findings are discussed in relation to the importance of modeling the effects of HFon social and psychological outcomes as indirect and identifying importantmediators that translate the effects of HF components on social andpsychological outcomes. We also note the importance of case managementactivities that encourage clients to develop and sustain distal supports with otherswho live and work in their neighborhoods