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Erschienen in: Community Mental Health Journal 7/2016

07.01.2015 | Original Paper

Changing Social Networks Among Homeless Individuals: A Prospective Evaluation of a Job- and Life-Skills Training Program

verfasst von: Heather M. Gray, Paige M. Shaffer, Sarah E. Nelson, Howard J. Shaffer

Erschienen in: Community Mental Health Journal | Ausgabe 7/2016

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Abstract

Social networks play important roles in mental and physical health among the general population. Building healthier social networks might contribute to the development of self-sufficiency among people struggling to overcome homelessness and substance use disorders. In this study of homeless adults completing a job- and life-skills program (i.e., the Moving Ahead Program at St. Francis House, Boston), we prospectively examined changes in social network quality, size, and composition. Among the sample of participants (n = 150), we observed positive changes in social network quality over time. However, social network size and composition did not change among the full sample. The subset of participants who reported abstaining from alcohol during the months before starting the program reported healthy changes in their social networks; specifically, while completing the program, they re-structured their social networks such that fewer members of their network used alcohol to intoxication. We discuss practical implications of these findings.
Fußnoten
1
A total of 317 students began MAP during this time period. Therefore, this dataset represents a 82.6% response rate.
 
2
Participants indicated whether they were “lacking a fixed, regular, and adequate nighttime residence and/or having a primary nighttime residence that is (a) a supervised publicly or privately operated shelter designed to provide temporary living accommodations (including welfare hotels, congregate shelters, and transitional housing for the mentally ill); (b) an institution that provides a temporary residence for individuals intended to be institutionalized; or (c) a public or private place not designed for, or ordinarily used as, a regular sleeping accommodation for human beings).”
 
Literatur
Zurück zum Zitat Amieva, H., Stoykova, R., Matharan, F., Helmer, C., Antonucci, T. C., & Dartigues, J.-F. (2010). What aspects of social network are protective for dementia? Not the quantity but the quality of social interactions is protective up to 15 years later. Psychosomatic Medicine, 72(9), 905–911. doi:10.1097/PSY.0b013e3181f5e121.CrossRefPubMed Amieva, H., Stoykova, R., Matharan, F., Helmer, C., Antonucci, T. C., & Dartigues, J.-F. (2010). What aspects of social network are protective for dementia? Not the quantity but the quality of social interactions is protective up to 15 years later. Psychosomatic Medicine, 72(9), 905–911. doi:10.​1097/​PSY.​0b013e3181f5e121​.CrossRefPubMed
Zurück zum Zitat Bassuk, E. L., & Rosenberg, L. (1988). Why does family homelessness occur? A case–control study. American Journal of Public Health, 78, 783–788.CrossRefPubMedPubMedCentral Bassuk, E. L., & Rosenberg, L. (1988). Why does family homelessness occur? A case–control study. American Journal of Public Health, 78, 783–788.CrossRefPubMedPubMedCentral
Zurück zum Zitat Bassuk, E. L., Rubin, L., & Lauriat, A. (1984). Is homelessness a mental health problem? The American Journal of Psychiatry, 141(12), 1546–1550.CrossRefPubMed Bassuk, E. L., Rubin, L., & Lauriat, A. (1984). Is homelessness a mental health problem? The American Journal of Psychiatry, 141(12), 1546–1550.CrossRefPubMed
Zurück zum Zitat Biswas-Diener, R., & Diener, E. D. (2006). The subjective well-being of the homeless, and lessons for happiness. Social Indicators Research, 76, 185–205.CrossRef Biswas-Diener, R., & Diener, E. D. (2006). The subjective well-being of the homeless, and lessons for happiness. Social Indicators Research, 76, 185–205.CrossRef
Zurück zum Zitat Christakis, N. A., & Fowler, J. H. (2013). Social contagion theory: examining dynamic social networks and human behavior. Statistics in Medicine, 32(4), 556–577.CrossRefPubMed Christakis, N. A., & Fowler, J. H. (2013). Social contagion theory: examining dynamic social networks and human behavior. Statistics in Medicine, 32(4), 556–577.CrossRefPubMed
Zurück zum Zitat Desmond, M. (2012). Disposable ties and the urban poor. American Journal of Sociology, 117, 1295–1335.CrossRef Desmond, M. (2012). Disposable ties and the urban poor. American Journal of Sociology, 117, 1295–1335.CrossRef
Zurück zum Zitat Dishion, T. J., & Owen, L. D. (2002). A longitudinal analysis of friendships and substance use: Bidirectional influence from adolescence to adulthood. Developmental Psychology, 28(4), 480–491.CrossRef Dishion, T. J., & Owen, L. D. (2002). A longitudinal analysis of friendships and substance use: Bidirectional influence from adolescence to adulthood. Developmental Psychology, 28(4), 480–491.CrossRef
Zurück zum Zitat Drake, R. E., Brunette, M. F., & Mueser, K. T. (1998). Substance use disorders and social functioning in schizophrenia. In K. T. Mueser & N. Tarrier (Eds.), Handbook of social functioning in schizophrenia (pp. 280–289). Needham Heights, MA: Allyn & Bacon. Drake, R. E., Brunette, M. F., & Mueser, K. T. (1998). Substance use disorders and social functioning in schizophrenia. In K. T. Mueser & N. Tarrier (Eds.), Handbook of social functioning in schizophrenia (pp. 280–289). Needham Heights, MA: Allyn & Bacon.
Zurück zum Zitat Fischer, P. J., & Breakey, W. R. (1985). Homelessness and mental health: An overview. International Journal of Mental Health, 14(4), 6–41.CrossRef Fischer, P. J., & Breakey, W. R. (1985). Homelessness and mental health: An overview. International Journal of Mental Health, 14(4), 6–41.CrossRef
Zurück zum Zitat Fujimoto, K., & Valente, T. W. (2012). Social network influences on adolescent substance use: Disentangling structural equivalence from cohesion. Social Science and Medicine, 74(12), 1952–1960.CrossRefPubMedPubMedCentral Fujimoto, K., & Valente, T. W. (2012). Social network influences on adolescent substance use: Disentangling structural equivalence from cohesion. Social Science and Medicine, 74(12), 1952–1960.CrossRefPubMedPubMedCentral
Zurück zum Zitat Graham, S. M., Huang, J. Y., Clark, M. S., & Helgeson, V. S. (2008). The positives of negative emotions: Willingness to express negative emotions promotes relationship. Personality and Social Psychology Bulletin, 34, 394–406.CrossRefPubMed Graham, S. M., Huang, J. Y., Clark, M. S., & Helgeson, V. S. (2008). The positives of negative emotions: Willingness to express negative emotions promotes relationship. Personality and Social Psychology Bulletin, 34, 394–406.CrossRefPubMed
Zurück zum Zitat Green, H. D, Jr, de la Haye, K., Tucker, J. S., & Golinelli, D. (2013). Shared risk: Who engages in substance use with American homeless youth? Addiction, 108(9), 1618–1624. doi:10.1111/add.12177.CrossRefPubMed Green, H. D, Jr, de la Haye, K., Tucker, J. S., & Golinelli, D. (2013). Shared risk: Who engages in substance use with American homeless youth? Addiction, 108(9), 1618–1624. doi:10.​1111/​add.​12177.CrossRefPubMed
Zurück zum Zitat Grigsby, C., Baumann, D., Gregorich, S. E., & Roberts-Gray, C. (1990). Disaffiliation to entrenchment: A model for understanding homelessness. Journal of Social Issues, 46(4), 141–156.CrossRef Grigsby, C., Baumann, D., Gregorich, S. E., & Roberts-Gray, C. (1990). Disaffiliation to entrenchment: A model for understanding homelessness. Journal of Social Issues, 46(4), 141–156.CrossRef
Zurück zum Zitat Hawkins, R. L., & Abrams, C. (2007). Disappearing acts: The social networks of formerly homeless individuals with co-occurring disorders. Social Science and Medicine, 65(10), 2031–2042.CrossRefPubMedPubMedCentral Hawkins, R. L., & Abrams, C. (2007). Disappearing acts: The social networks of formerly homeless individuals with co-occurring disorders. Social Science and Medicine, 65(10), 2031–2042.CrossRefPubMedPubMedCentral
Zurück zum Zitat Kessler, R. C., & Ustun, T. B. (2004). The World Mental Health (WMH) Survey Initiative version of the World Health Organization (WHO) Composite International Diagnostic Interview (CIDI). International Journal of Methods in Psychiatric Research, 13(2), 93–121.CrossRefPubMed Kessler, R. C., & Ustun, T. B. (2004). The World Mental Health (WMH) Survey Initiative version of the World Health Organization (WHO) Composite International Diagnostic Interview (CIDI). International Journal of Methods in Psychiatric Research, 13(2), 93–121.CrossRefPubMed
Zurück zum Zitat Lee, R. M., Draper, M., & Lee, S. (2001). Social connectedness, dysfunctional interpersonal behaviors, and psychological distress: Testing a mediator model. Journal of Counseling Psychology, 48(3), 310–318.CrossRef Lee, R. M., Draper, M., & Lee, S. (2001). Social connectedness, dysfunctional interpersonal behaviors, and psychological distress: Testing a mediator model. Journal of Counseling Psychology, 48(3), 310–318.CrossRef
Zurück zum Zitat Morris, S. B., & DeShon, R. P. (2002). Combining effect size estimates in meta-analysis with repeated measures and independent-groups designs. Psychological Methods, 7(1), 105–125.CrossRefPubMed Morris, S. B., & DeShon, R. P. (2002). Combining effect size estimates in meta-analysis with repeated measures and independent-groups designs. Psychological Methods, 7(1), 105–125.CrossRefPubMed
Zurück zum Zitat Nelson, S. E., Gray, H. M., Maurice, I. R., & Shaffer, H. J. (2012). Moving ahead: Evaluation of a work-skills training program for homeless adults. Community Mental Health Journal, 48(6), 711–722.CrossRefPubMed Nelson, S. E., Gray, H. M., Maurice, I. R., & Shaffer, H. J. (2012). Moving ahead: Evaluation of a work-skills training program for homeless adults. Community Mental Health Journal, 48(6), 711–722.CrossRefPubMed
Zurück zum Zitat Savage, A., & Russell, L. A. (2005). Tangled in a web of affiliation: social support networks of dually diagnosed women who are trauma survivors. The Journal of Behavioral Health Services & Research, 32(2), 199–214.CrossRef Savage, A., & Russell, L. A. (2005). Tangled in a web of affiliation: social support networks of dually diagnosed women who are trauma survivors. The Journal of Behavioral Health Services & Research, 32(2), 199–214.CrossRef
Zurück zum Zitat Schwartz, S. R., & Goldfinger, S. M. (1981). The new chronic patient: Clinical characteristics of an emerging subgroup. Hospital & Community Psychiatry, 32(7), 470–474. Schwartz, S. R., & Goldfinger, S. M. (1981). The new chronic patient: Clinical characteristics of an emerging subgroup. Hospital & Community Psychiatry, 32(7), 470–474.
Zurück zum Zitat Smith, K. P., & Christakis, N. A. (2008). Social Networks and Health. Annual Review of Sociology, 34, 405–429.CrossRef Smith, K. P., & Christakis, N. A. (2008). Social Networks and Health. Annual Review of Sociology, 34, 405–429.CrossRef
Zurück zum Zitat Sokolovsky, J., Cohen, C., Berger, D., & Geiger, J. (1978). Personal networks of ex-mental patients in a Manhattan SRO hotel. Human organization, 37(1), 5–15.CrossRefPubMed Sokolovsky, J., Cohen, C., Berger, D., & Geiger, J. (1978). Personal networks of ex-mental patients in a Manhattan SRO hotel. Human organization, 37(1), 5–15.CrossRefPubMed
Zurück zum Zitat Sprecher, S., & Hendrick, S. S. (2004). Self-disclosure in intimate relationships: Associations with individual and relationship characteristics over time. Journal of Social and Clinical Psychology, 23, 857–877.CrossRef Sprecher, S., & Hendrick, S. S. (2004). Self-disclosure in intimate relationships: Associations with individual and relationship characteristics over time. Journal of Social and Clinical Psychology, 23, 857–877.CrossRef
Zurück zum Zitat Stebbins, P., Joyce, R., & Ryan, A. (2013). St. Fransis House MAP progress report: April 2013. Boston, MA: St. Francis House. Stebbins, P., Joyce, R., & Ryan, A. (2013). St. Fransis House MAP progress report: April 2013. Boston, MA: St. Francis House.
Zurück zum Zitat Thoits, P. A. (1983). Multiple identities and psychological well-being: A reformulation and test of the social isolation hypothesis. American Sociological Review, 48(2), 174–187.CrossRefPubMed Thoits, P. A. (1983). Multiple identities and psychological well-being: A reformulation and test of the social isolation hypothesis. American Sociological Review, 48(2), 174–187.CrossRefPubMed
Zurück zum Zitat Tiffany, S. T., Friedman, L., Greenfield, S. F., Hasin, D. S., & Jackson, R. (2012). Beyond drug use: A systematic consideration of other outcomes in evaluations of treatments for substance use disorders. Addiction, 107(4), 709–718.CrossRefPubMed Tiffany, S. T., Friedman, L., Greenfield, S. F., Hasin, D. S., & Jackson, R. (2012). Beyond drug use: A systematic consideration of other outcomes in evaluations of treatments for substance use disorders. Addiction, 107(4), 709–718.CrossRefPubMed
Zurück zum Zitat Uchino, B. N., Cacioppo, J. T., & Kiecolt-Glaser, J. K. (1996). The relationship between social support and physiological processes: A review with emphasis on underlying mechanisms and implications for health. Psychological Bulletin, 119, 488–531.CrossRefPubMed Uchino, B. N., Cacioppo, J. T., & Kiecolt-Glaser, J. K. (1996). The relationship between social support and physiological processes: A review with emphasis on underlying mechanisms and implications for health. Psychological Bulletin, 119, 488–531.CrossRefPubMed
Zurück zum Zitat Valente, T. W. (2010). Social networks and health: Models, methods, and applications. New York: Oxford University Press.CrossRef Valente, T. W. (2010). Social networks and health: Models, methods, and applications. New York: Oxford University Press.CrossRef
Zurück zum Zitat Van Ryzin, M. J., & Dishion, T. J. (2013). From antisocial behavior to violence: A model for the amplifying role of coercive joining in adolescent friendships. Journal of Child Psychology and Psychiatry, 54(6), 661–669. doi:10.1111/jcpp.12017.CrossRefPubMed Van Ryzin, M. J., & Dishion, T. J. (2013). From antisocial behavior to violence: A model for the amplifying role of coercive joining in adolescent friendships. Journal of Child Psychology and Psychiatry, 54(6), 661–669. doi:10.​1111/​jcpp.​12017.CrossRefPubMed
Zurück zum Zitat Wenzel, S. L., Green, H. D, Jr, Tucker, J. S., Golinelli, D., Kennedy, D. P., Ryan, G., & Zhou, A. (2009). The social context of homeless women’s alcohol and drug use. Drug and Alcohol Dependence, 105(1–2), 16–23.CrossRefPubMedPubMedCentral Wenzel, S. L., Green, H. D, Jr, Tucker, J. S., Golinelli, D., Kennedy, D. P., Ryan, G., & Zhou, A. (2009). The social context of homeless women’s alcohol and drug use. Drug and Alcohol Dependence, 105(1–2), 16–23.CrossRefPubMedPubMedCentral
Metadaten
Titel
Changing Social Networks Among Homeless Individuals: A Prospective Evaluation of a Job- and Life-Skills Training Program
verfasst von
Heather M. Gray
Paige M. Shaffer
Sarah E. Nelson
Howard J. Shaffer
Publikationsdatum
07.01.2015
Verlag
Springer US
Erschienen in
Community Mental Health Journal / Ausgabe 7/2016
Print ISSN: 0010-3853
Elektronische ISSN: 1573-2789
DOI
https://doi.org/10.1007/s10597-014-9817-5

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