Title |
Decreasing Psychiatric Symptoms by Increasing Choice in Services for Adults with Histories of Homelessness
|
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Published in |
American Journal of Community Psychology, December 2005
|
DOI | 10.1007/s10464-005-8617-z |
Pubmed ID | |
Authors |
Ronni Michelle Greenwood, Nicole J. Schaefer-McDaniel, Gary Winkel, Sam J. Tsemberis |
Abstract |
Despite the increase in consumer-driven interventions for homeless and mentally ill individuals, there is little evidence that these programs enhance psychological outcomes. This study followed 197 homeless and mentally ill adults who were randomized into one of two conditions: a consumer-driven "Housing First" program or "treatment as usual" requiring psychiatric treatment and sobriety before housing. Proportion of time homeless, perceived choice, mastery, and psychiatric symptoms were measured at six time points. Results indicate a direct relationship between Housing First and decreased homelessness and increased perceived choice; the effect of choice on psychiatric symptoms was partially mediated by mastery. The strong and inverse relationship between perceived choice and psychiatric symptoms supports expansion of programs that increase consumer choice, thereby enhancing mastery and decreasing psychiatric symptoms. |
X Demographics
Geographical breakdown
Country | Count | As % |
---|---|---|
United States | 1 | 50% |
Unknown | 1 | 50% |
Demographic breakdown
Type | Count | As % |
---|---|---|
Members of the public | 2 | 100% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
---|---|---|
United States | 2 | 1% |
Finland | 1 | <1% |
Canada | 1 | <1% |
Unknown | 159 | 98% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Student > Ph. D. Student | 26 | 16% |
Student > Master | 26 | 16% |
Researcher | 21 | 13% |
Student > Doctoral Student | 16 | 10% |
Student > Bachelor | 13 | 8% |
Other | 28 | 17% |
Unknown | 33 | 20% |
Readers by discipline | Count | As % |
---|---|---|
Social Sciences | 50 | 31% |
Psychology | 32 | 20% |
Medicine and Dentistry | 18 | 11% |
Nursing and Health Professions | 9 | 6% |
Agricultural and Biological Sciences | 5 | 3% |
Other | 8 | 5% |
Unknown | 41 | 25% |