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"Jag kan öppna fönstret när jag vill": Boendesituationen för personer med psykisk funktionsnedsättning
Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.ORCID iD: 0000-0001-8797-7591
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 [sv]
boende, boendestöd, boendetillfredsställelse, grundad teori, innehållsanalys, psykisk funktionsnedsättning, psykometri
National Category
Nursing
Research subject
Health and Caring Sciences, Caring Science
Identifiers
URN: urn:nbn:se:lnu:diva-56281ISBN: 978-91-88357-29-8OAI: oai:DiVA.org:lnu-56281DiVA: diva2:957327
Public defence
2016-09-16, Wicksell, Linneuniversitetet, Växjö, 10:30 (Swedish)
Opponent
Supervisors
Available from: 2016-09-09 Created: 2016-09-01 Last updated: 2016-09-13Bibliographically approved
List of papers
1. Validity and reliability of a Swedish questionnaire for assessing satisfaction with housing and housing support for persons with psychiatric disabilities
Open this publication in new window or tab >>Validity and reliability of a Swedish questionnaire for assessing satisfaction with housing and housing support for persons with psychiatric disabilities
2013 (English)In: Issues in Mental Health Nursing, ISSN 0161-2840, E-ISSN 1096-4673, Vol. 34, no 10, 731-738 p.Article in journal (Refereed) Published
Abstract [en]

The aim of this study was to investigate the reliability and validity of a questionnaire for studying satisfaction with housing and housing support for people with psychiatric disabilities. Most items were gathered from English language questionnaires. These were translated and adapted to a Swedish context and items concerning housing support were added. Two studies were conducted. The first, a test-retest reliability analysis, was performed in a pilot study with 53 participants; in the second study, which had 370 participants, a five factor solution with good internal consistency emerged. Further development of the questionnaire is discussed.

Place, publisher, year, edition, pages
Informa Healthcare, 2013
National Category
Nursing
Research subject
Health and Caring Sciences, Caring Science
Identifiers
urn:nbn:se:lnu:diva-38785 (URN)10.3109/01612840.2013.821192 (DOI)000209366800003 ()24066648 (PubMedID)
Available from: 2014-12-29 Created: 2014-12-29 Last updated: 2016-09-22Bibliographically approved
2. Satisfaction with housing and housing support for people with psychiatric disabilities
Open this publication in new window or tab >>Satisfaction with housing and housing support for people with psychiatric disabilities
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2015 (English)In: Issues in Mental Health Nursing, ISSN 0161-2840, Vol. 36, no 1, 21-28 p.Article in journal (Refereed) Published
Abstract [en]

The aim of this study was to investigate the degree of satisfaction with housing and housing support for people with psychiatric disabilities in Sweden. A total of 370 residents, in supported housing and in ordinary housing with housing support, completed a new questionnaire and reported a high degree of overall satisfaction, but many of them wanted to move somewhere else. Differences were found between the two different types of housing concerning satisfaction with housing support, social life and available choices. Security and privacy, as well as other's influence on the choice of residential area and dwelling proved to be important predictors for satisfaction.

Place, publisher, year, edition, pages
Informa Healthcare, 2015
Keyword
Satisfaction, Housing, Supported housing, Housing support, Psychiatric disabilities
National Category
Nursing
Research subject
Health and Caring Sciences, Caring Science
Identifiers
urn:nbn:se:lnu:diva-38786 (URN)10.3109/01612840.2014.930216 (DOI)000353297200004 ()25397858 (PubMedID)
Available from: 2014-12-29 Created: 2014-12-29 Last updated: 2016-09-01Bibliographically approved
3. Residents' perceptions of the most positive and negative aspects of the housing situation for people with psychitric disabilities
Open this publication in new window or tab >>Residents' perceptions of the most positive and negative aspects of the housing situation for people with psychitric disabilities
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(English)Article in journal (Refereed) Submitted
National Category
Nursing
Research subject
Health and Caring Sciences, Nursing
Identifiers
urn:nbn:se:lnu:diva-56282 (URN)
External cooperation:
Available from: 2016-09-01 Created: 2016-09-01 Last updated: 2016-09-01Bibliographically approved
4. Striving for meaning: Life in supported housing for people with psychiatric disabilities
Open this publication in new window or tab >>Striving for meaning: Life in supported housing for people with psychiatric disabilities
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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
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.

Keyword
Grounded theory, psychiatric disabilities, self-determination, supported housing
National Category
Nursing
Research subject
Health and Caring Sciences
Identifiers
urn:nbn:se:lnu:diva-53318 (URN)10.3402/qhw.v11.31249 (DOI)000375927600001 ()27172517 (PubMedID)2-s2.0-84982710264 (ScopusID)
External cooperation:
Available from: 2016-06-10 Created: 2016-06-10 Last updated: 2016-09-07Bibliographically approved
5. Mastering everyday life in ordinary housing for people with psychiatric disabilities
Open this publication in new window or tab >>Mastering everyday life in ordinary housing for people with psychiatric disabilities
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2016 (English)In: The Grounded Theory Review, ISSN 1556-1542, E-ISSN 1556-1550, Vol. 15, no 1, 10-25 p.Article in journal (Refereed) Published
Abstract [en]

The aim of this study was to develop a classic grounded theory about people who have psychiatric disabilities and live in ordinary housing with housing support. Interviews and observations during the interviews were analyzed, and secondary analyses of data from previous studies were performed. The impossible mission in everyday life emerged as the main concern and mastering everyday life as the pattern of behavior through which they deal with this concern. Mastering everyday life can be seen as a process, which involves identifying, organizing, tackling, challenging and boosting. Before the process is started, avoiding is used to deal with the main concern. The community support worker, providing housing support, constitutes an important facilitator during the process, and the continuity of housing support is a prerequisite for the process to succeed. If the process mastering everyday life is interrupted by, for example, changes in housing support, the strategy of avoiding is used.

Place, publisher, year, edition, pages
Sociology Press, 2016
Keyword
Grounded theory, Housing support, Impossible mission, Mastering, Psychiatric disabilities
National Category
Nursing
Research subject
Health and Caring Sciences
Identifiers
urn:nbn:se:lnu:diva-54456 (URN)
Available from: 2016-07-01 Created: 2016-07-01 Last updated: 2016-09-01Bibliographically approved

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