There's no place like (a) home: Ontological security among persons with serious mental illness in the United States
There's no place like (a) home: Ontological security among persons with serious mental illness in the United States
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DOI：
10.1016/j.socscimed.2007.02.011
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发表时间：
2007-05-01
影响因子：
5.4
通讯作者：
Padgett, Deborah K.
中科院分区：
文献类型：
--
作者：
Padgett, Deborah K.
随着美国无家可归危机进入第三个十年，很少有人像患有严重精神疾病的人那样受到负面影响。尽管最近有证据表明人们倾向于“住房优先”的做法，但占主导地位的“治疗优先”做法依然存在，即个人必须先爬上项目要求的阶梯，才有资格拥有自己的公寓。这项定性研究借鉴了“本体论安全”的概念，考察了39个人对“家”的主观含义。上世纪90年代末，一项独特的城市试验为纽约市无家可归的精神病患者提供了立即获得独立住房的机会。研究设计包括有目的地从试验组(住房优先)(N=21)和对照组(治疗优先)(N=18)中抽样，并对每个参与者进行两次生活史访谈。本体论安全的标记--恒定性、日常生活、隐私，以及为身份构建提供安全基础--为扎根的理论分析提供了敏感的概念，旨在产生新的或新的主题。调查结果显示，居住在自己公寓的参与者中存在本体论安全标记的明确证据。这项研究扩展了先前的研究，表明无家可归的精神病患者能够在社区中独立生活。关于“下一步是什么”的问题和对未来的不确定性的紧急主题表明，有必要解决耻辱和社会排斥问题，这些问题超出了拥有一个“家”的最低限度的成就。(C)2007爱思唯尔有限公司。保留所有权利。
As the homelessness 'crisis' in the United States enters a third decade, few are as adversely affected as persons with serious mental illness. Despite recent evidence favoring a 'housing first' approach, the dominant 'treatment first' approach persists in which individuals must climb a ladder of program requirements before becoming eligible for an apartment of their own.Drawing upon the concept of 'ontological security', this qualitative study examines the subjective meaning of 'home' among 39 persons who were part of a unique urban experiment that provided New York City's homeless mentally ill adults with immediate access to independent housing in the late 1990s. The study design involved purposively sampling from the experimental (housing first) group (N = 21) and the control (treatment first) group (N = 18) and conducting two life history interviews with each participant. Markers of ontological security-constancy, daily routines, privacy, and having a secure base for identity construction-provided sensitizing concepts for grounded theory analyses designed to also yield emergent, or new, themes.Findings revealed clear evidence of the markers of ontological security among participants living in their own apartments. This study expands upon previous research showing that homeless mentally ill persons are capable of independent living in the community. The emergent theme of 'what's next' questions and uncertainty about the future points to the need to address problems of stigma and social exclusion that extend beyond the minimal achievement of having a 'home'.(c) 2007 Elsevier Ltd. All rights reserved.