Bread and Shoulders: Reversing the Downward Spiral, a Qualitative Analyses of the Effects of a Housing First-Type Program in France

Pauline Rhenter, Delphine Moreau, Christian Laval, Jean Mantovani, Amandine Albisson, Guillaume Suderie, French Housing First Study Group, Mohamed Boucekine, Aurelie Tinland, Sandrine Loubière, Tim Greacen, Pascal Auquier and Vincent Girard
Additional contact information
Pauline Rhenter: Aix-Marseille University, Public Health Research Unit EA 3279, 13005 Marseille, France
Delphine Moreau: Research Laboratory, Maison Blanche Hospital, 75018 Paris, France
Christian Laval: Aix-Marseille University, Public Health Research Unit EA 3279, 13005 Marseille, France
Jean Mantovani: Observatory Regional of Health, Midi Pyrenees, 31000 Toulouse, France
Amandine Albisson: Observatory Regional of Health, Midi Pyrenees, 31000 Toulouse, France
Guillaume Suderie: Observatory Regional of Health, Midi Pyrenees, 31000 Toulouse, France
French Housing First Study Group: French Housing First Study Group, 13000 Marseille, France
Mohamed Boucekine: Aix-Marseille University, Public Health Research Unit EA 3279, 13005 Marseille, France
Aurelie Tinland: Aix-Marseille University, Public Health Research Unit EA 3279, 13005 Marseille, France
Sandrine Loubière: Aix-Marseille University, Public Health Research Unit EA 3279, 13005 Marseille, France
Tim Greacen: Research Laboratory, Maison Blanche Hospital, 75018 Paris, France
Pascal Auquier: Aix-Marseille University, Public Health Research Unit EA 3279, 13005 Marseille, France
Vincent Girard: Aix-Marseille University, Public Health Research Unit EA 3279, 13005 Marseille, France

IJERPH, 2018, vol. 15, issue 3, 1-22

Abstract: This paper is a qualitative analysis of the effects of accompagnement , a support framework, on recovery trajectories of people with long-term homelessness and severe psychiatric disorders during 24 months in a Housing First-type program in France. A comprehensive methodology based on grounded theory was used to construct an interview guide, conduct multiple interviews with 35 Housing First participants sampled for heterogeneity, and produce memos on their trajectories before and after entering the program based on interview information. Thematic analysis of a representative subsample ( n = 13) of memos identified 12 objective factors and 6 subjective factors key to the recovery process. An in-depth re-analysis of the memos generated four recovery themes: (1) the need for secure space favorable to self-reflexivity; (2) a “honeymoon” effect; (3) the importance of even weak social ties; (4) support from and hope among peers. Three challenges to recovery were identified: (1) finding a balance between protection and risk; (2) breaking downward spirals; (3) bifurcating the trajectory. This study provides new insight into the recovery process, understood as a non-linear transformation of an experience—the relationship between objective life conditions and subjective perception of those conditions—which reinforces protective support over risk elements.

Keywords: qualitative research; intervention research; Housing First; recovery; homelessness; trajectories (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2018
References: View references in EconPapers View complete reference list from CitEc
Citations: View citations in EconPapers (1)

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