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1.
Health Place ; 27: 92-101, 2014 May.
Article in English | MEDLINE | ID: mdl-24589632

ABSTRACT

Measures of community integration rely on self-report assessments that often quantify physical or social participation, but fail to capture the individual׳s spatial presence in the community. The current study documents the activity space, or area of daily experiences, of 37 individuals who were once homeless through participatory mapping and Geographic Information Systems (GIS). Contrary to expectations, there was no significant relationship between activity space size and community integration measures, except a negative association with physical integration. Further analysis revealed, however, that continued use of homeless services, geographically spread throughout the city, was associated with larger activity space size, but may be counterproductive to social and psychological integration efforts. Analysis of the types of locations identified revealed high importance given to leisure locations and ongoing involvement with medical and mental health locations. Finally, community integration outcomes did not differ significantly by demographics or housing type, but rather degree of family involvement and feeling like home, factors that may have more potential for change.


Subject(s)
Community Integration/statistics & numerical data , Ill-Housed Persons/statistics & numerical data , Adult , Aged , Female , Geographic Information Systems , Humans , Male , Middle Aged , Residence Characteristics/statistics & numerical data , Spatial Analysis , United States/epidemiology
2.
Adm Policy Ment Health ; 35(5): 357-69, 2008 Sep.
Article in English | MEDLINE | ID: mdl-18553131

ABSTRACT

This study examined the effectiveness of an educational approach to psychiatric rehabilitation called the Recovery Center. Using a quasi-experimental design we recruited 97 intervention and 81 comparison participants and examined the intervention's impact on health, mental health, subjective, and role functioning outcomes. Results suggested that this intervention was effective in improving subjective outcomes, especially empowerment and recovery attitudes, both of which received primary emphasis in the intervention. The Recovery Center, which integrates a bio-psychosocial framework with psycho-educational interventions shows promise as a complement to traditional mental health services in developing readiness for rehabilitation and promoting recovery among individuals with severe psychiatric disabilities.


Subject(s)
Education , Mental Disorders/therapy , Persons with Mental Disabilities , Social Support , Universities , Adult , Aged , Female , Health Status , Humans , Male , Mental Disorders/psychology , Middle Aged
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