Abstract
We recruited a sample of individuals who were formerly homeless that received assertive community treatment (ACT) services to assess differences in their sources and perceived quality of social support related to changes in their residence status. Standardized questionnaires were administered to 22 participants via face-to-face interviews, including various measures of social support and relationship quality. Results indicated that participants mentioned ACT staff members significantly more often than any other relationship category (e.g., friends or family) as sources of social support. Participants also indicated that the quality of their relationships with ACT staff members was significantly better than relationships maintained before and during their homelessness. These findings indicate that ACT staff can serve as social supports for clients on their caseloads, and they further suggest that clients perceive these worker-consumer relationships to be of high quality. Implications related to community integration are discussed.
Similar content being viewed by others
References
Abdi, H. (2007). Bonferroni and Sidak corrections for multiple comparisons. In N. J. Salkind (Ed.), Encyclopedia of measurement and statistics. Thousand Oaks, CA: Sage.
Berkman, L. F., & Syme, S. L. (1979). Social networks, host resistance, and mortality: A nine-year follow-up study of Alameda County residents. Journal of Epidemiology, 109, 186–204.
Bhatti, B., Derezotes, D., Kim, S., & Specht, H. (1989). The association between child maltreatment and self-esteem. In A. M. Mecca, N. J. Smelser, & J. Vasconcellos (Eds.), The social importance of self-esteem. Berkeley, CA: University of California Press.
Blazer, D. G. (1982). Social support and mortality in an elderly community population. American Journal of Epidemiology, 115, 684–694.
Boog, B. W. (2003). The emancipatory character of action research, its history and the present state of the art. Journal of Community & Applied Social Psychology, 13, 426–438. doi:10.1002/casp.748.
Burling, T. A., Seidner, A. L., Robbins-Sisco, D., Krinsky, A., & Hanser, S. B. (1992). Batter up! Relapse prevention for homeless veteran substance abusers via softball team participation. Journal of Substance Abuse, 4, 407–413. doi:10.1016/0899-3289(92)90047-2.
Calsyn, R. J., Morse, G. A., Klinkenberg, W. D., Trusty, M. L., & Allen, G. (1998). The impact of assertive community treatment on the social relationships of people who are homeless and mentally ill. Community Mental Health Journal, 34(6), 579–593. doi:10.1023/A:1018711001348.
Cobb, S. (1976). Social support as a moderator of life stress. Psychosomatic Medicine, 38, 300–314.
Cohen, J. (1988). Statistical power analysis for the behavioral sciences (2nd ed.). Hillsdale, NJ: Lawrence Erlbaum Associates.
Coldwell, C. M., & Bender, W. S. (2007). The effectiveness of assertive community treatment for homeless populations with severe mental illness: A meta-analysis. The American Journal of Psychiatry, 164(3), 393–399. doi:10.1176/appi.ajp.164.3.393.
Eyrich, K. M., Pollio, D. E., & North, C. S. (2003). An exploration of alienation and replacement theories of social support in homelessness. Social Work Research, 27(4), 222–231.
Goodman, L. A. (1991). The relationship between social support and family homelessness: A comparison study of homeless and housed mothers. Journal of Community Psychology, 19(4), 321–332. doi:10.1002/1520-6629(199110)19:4<321::AID-JCOP2290190404>3.0.CO;2-8.
Grigsby, C., Baumann, D., Gregorich, S. E., & Roberts-Gray, C. (1990). Disaffiliation to entrenchment: A model for understanding homelessness. The Journal of Social Issues, 46(4), 141–156.
Hamachek, D. (1992). Encounters with the self (4th ed.). San Diego, CA: Harcourt Brace Jovanovich.
Hertzberg, E. L. (1992). The homeless in the United States: Conditions, typology, and interventions. International Social Work, 35, 149–161. doi:10.1177/002087289203500205.
Hobfall, S. E., & London, P. (1986). The relationship of self-concept and social support to emotional distress among women during the war. Journal of Social and Clinical Psychology, 4, 189–203.
Holmes, E. K., Mateczun, J. M., Lall, R., & Wilcove, G. L. (1998). Pilot study of suicide risk factors among personnel in the United States Marine Corps (Pacific Forces). Psychological Reports, 83, 3–11. doi:10.2466/PR0.83.5.3-11.
House, J. S., Robbins, C., & Metzner, H. L. (1982). The association of social relationships and activities with mortality: Prospective evidence from the Tecumseh Community Health Study. Journal of Epidemiology, 116, 123–140.
Jason, L. A., Davis, M. I., & Ferrari, J. R. (2007). The need for substance abuse after-care: Longitudinal analysis of Oxford House. Addictive Behaviors, 32(4), 803–818. doi:10.1016/j.addbeh.2006.06.014.
Kiecolt-Glaser, J. K., Garner, W., Speicher, C., Penn, G. M., Holliday, J., & Glaser, R. (1984). Psychosocial modifiers of immunocompetence in medical students. Psychosomatic Medicine, 46, 7–14.
Letiecq, B. L., Anderson, E. A., & Koblinsky, S. A. (1998). Social support of homeless and housed mothers: A comparison of temporary and permanent housing arrangements. Family Relations, 47(4), 415–421. doi:10.2307/585272.
Lynch, J. J. (1979). The broken heart: The medical consequences of loneliness. New York: Basic Books.
MacKnee, C. M., & Mervyn, J. (2002). Critical incidents that facilitate homeless people’s transition off the streets. Journal of Social Distress and the Homeless, 11(4), 293–306. doi:10.1023/A:1016837231886.
McGrew, J. H., & Bond, G. R. (1995). Critical ingredients of assertive community treatment: Judgments from the experts. Journal of Mental Health Administration, 22, 113–125. doi:10.1007/BF02518752.
Passero, J. M., Zax, M., & Zozus, R. T. (1991). Social network utilization as related to family history among the homeless. Journal of Community Psychology, 19(1), 70–78. doi:10.1002/1520-6629(199101)19:1<70::AID-JCOP2290190107>3.0.CO;2-H.
Pierce, G. R., Sarason, I. G., & Sarason, B. R. (1991). General and relationship-based perceptions of social support: Are two constructs better than one? Journal of Personality and Social Psychology, 61(6), 1028–1039. doi:10.1037/0022-3514.61.6.1028.
Pollio, D. E. (1999). Group membership as a predictor of service use-related behaviors for persons “on the streets”. Research on Social Work Practice, 9(5), 575–592.
Sarason, I. G., Sarason, B. R., Shearin, E. N., & Pierce, G. R. (1987). A brief measure of social support: Practical and theoretical implications. Journal of Social and Personal Relationships, 4, 497–510. doi:10.1177/0265407587044007.
Schmidt, U., Tiller, J., & Morgan, H. G. (1995). The social consequences of eating disorders. In G. I. Szmukler & C. Dare (Eds.), Handbook of eating disorders: Theory, treatment, and research. Chichester, England: Wiley.
Solarz, A., & Bogat, G. A. (1990). When social support fails: The homeless. Journal of Community Psychology, 18, 79–96. doi:10.1002/1520-6629(199001)18:1<79::AID-JCOP2290180112>3.0.CO;2-B.
Teague, G. B., Bond, G. R., & Drake, R. E. (1988). Program fidelity in assertive community treatment: Development and use of a measure. The American Journal of Orthopsychiatry, 68, 216–232. doi:10.1037/h0080331.
The Annual Homeless Assessment Report to Congress. (2007, February). Retrieved July 17, 2007, from http://www.huduser.org/Publications/pdf/ahar.pdf.
Toohey, S. M., Shinn, M., & Weitzman, B. C. (2004). Social networks and homelessness among women heads of household. American Journal of Community Psychology, 33(1–2), 7–20. doi:10.1023/B:AJCP.0000014315.82860.d2.
Acknowledgments
We are grateful for the assistance of the Florida Mental Health Institute and Mental Health Care, Inc./HACT staff, and all participants in conducting this study. We are also grateful for the contributions of two anonymous reviewers.
Author information
Authors and Affiliations
Corresponding author
Additional information
This paper is based upon work supported by the National Science Foundation under Grant No. 0552428. Any opinions, findings, and conclusions or recommendations expressed in this material are those of the authors and do not necessarily reflect the views of the National Science Foundation.
Rights and permissions
About this article
Cite this article
Carton, A.D., Young, M.S. & Kelly, K.M. Changes in Sources and Perceived Quality of Social Supports Among Formerly Homeless Persons Receiving Assertive Community Treatment Services. Community Ment Health J 46, 156–163 (2010). https://doi.org/10.1007/s10597-009-9185-8
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10597-009-9185-8