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Striving for meaning: Life in supported housing for people with psychiatric disabilities
Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.ORCID iD: 0000-0001-8797-7591
Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.ORCID iD: 0000-0002-3164-8681
Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.ORCID iD: 0000-0002-5719-7102
Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
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2016 (English)In: International Journal of Qualitative Studies on Health and Well-being, ISSN 1748-2623, E-ISSN 1748-2631, Vol. 11, 31249Article in journal (Refereed) Published
Resource type
Text
Abstract [en]

The aim of this study was to develop a grounded theory about people with psychiatric disabilities, living in supported housing. Interviews as well as observations during the interviews were analyzed together with secondary analyses of quantitative and qualitative material from previous studies. Being deprived of self-determination emerged as the main concern for residents in supported housing and striving for meaning emerged as the pattern of behavior through which this group resolves their main concern. Striving for meaning involves living in the present, striving for self-determination, strengthening self-esteem, emotional processing and resting from the present. The strategies facilitate each other and are used singly, together simultaneously, or alternately. If they are successful, a meaning in the present is perceived. If all the strategies fail repeatedly, escaping from the present is used in order to deal with being deprived of self-determination. The implications of the findings suggest prioritizing a reduction of the institutional nature of the social and physical environment, and to support the residents' self-determination.

Place, publisher, year, edition, pages
2016. Vol. 11, 31249
Keyword [en]
Grounded theory, psychiatric disabilities, self-determination, supported housing
National Category
Nursing
Research subject
Health and Caring Sciences, Caring Science
Identifiers
URN: urn:nbn:se:lnu:diva-53318DOI: 10.3402/qhw.v11.31249ISI: 000375927600001PubMedID: 27172517Scopus ID: 2-s2.0-84982710264OAI: oai:DiVA.org:lnu-53318DiVA: diva2:935372
Available from: 2016-06-10 Created: 2016-06-10 Last updated: 2017-04-19Bibliographically approved
In thesis
1. "Jag kan öppna fönstret när jag vill": Boendesituationen för personer med psykisk funktionsnedsättning
Open this publication in new window or tab >>"Jag kan öppna fönstret när jag vill": Boendesituationen för personer med psykisk funktionsnedsättning
2016 (Swedish)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

Aim: The overall aim of this thesis was to explore and develop knowledge about the housing situation for people with psychiatric disabilities, based on the residents' perspectives.

Methods: Three studies are based on a new Swedish questionnaire (SHPD) containing preconceived questions (Studies I-II) and two open-ended questions (Study III), while two studies are theory-generating (Studies IV-V). I - the psychometric properties of SHPD (ICC, descriptive statistics, factor analysis); II - the degree and predictors of housing satisfaction (descriptive statistics, logistical regression analysis); III - the best and worst in housing situation (qualitative content analysis); IV-V - Classic grounded theories about people with psychiatric disabilities, living in supported housing (IV) and in ordinary housing with housing support (V).

Results: The results show good psychometric properties for SHPD, a generally high degree of housing satisfaction, and reveal security, privacy and choice as important predictors for satisfaction. Life in supported housing is shown to be characterized by constant togetherness, limited self-determination and violated integrity. Being deprived of self-determination emerged as the main concern for residents, who handle this through striving for meaning. Life in ordinary housing with housing support is shown to be characterized by independence, self-determination, loneliness, and sometimes lack of support. The impossible mission in everyday life emerged as the main concern for residents, who deal with this concern through mastering everyday life. The housing support staff are important facilitators in the process of mastering everyday life, and the continuity of housing support is a prerequisite for the process to succeed.

Conclusions: The thesis contributes knowledge about the housing situation for people with psychiatric disabilities. The thesis raises awareness of a need for changes in housing support services towards housing forms and support that strengthen the residents' integrity and autonomy. The individuals' experiences need to be considered in planning and performance of housing support services, and security, privacy, choice, social support and continuity in housing support need to be prioritized.

Place, publisher, year, edition, pages
Växjö: Linnaeus University Press, 2016. 108 p.
Series
Linnaeus University Dissertations, 259/2016
Keyword
boende, boendestöd, boendetillfredsställelse, grundad teori, innehållsanalys, psykisk funktionsnedsättning, psykometri
National Category
Nursing
Research subject
Health and Caring Sciences, Caring Science
Identifiers
urn:nbn:se:lnu:diva-56281 (URN)978-91-88357-29-8 (ISBN)
Public defence
2016-09-16, Wicksell, Linneuniversitetet, Växjö, 10:30 (Swedish)
Opponent
Supervisors
Available from: 2016-09-09 Created: 2016-09-01 Last updated: 2017-03-14Bibliographically approved

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Brolin, RositaBrunt, DavidRask, MikaelSyrén, SusanneSandgren, Anna
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