Escaping from homelessness
Morgan, William J. (2011) Escaping from homelessness. DClinPsych thesis, University of Warwick.
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Official URL: http://webcat.warwick.ac.uk:80/record=b2581154~S1
This thesis addresses the question of what helps the homeless to escape from
homelessness. It comprises an empirical paper, a systematic literature review and
a paper reflecting on the experience of conducting research with once-homeless
The empirical paper details a qualitative exploration of the experience of
escaping from homelessness for five once-homeless men. Semi-structured
interviews were carried out and analysed using interpretative phenomenological
analysis. Emergent themes were: life breaking in, decision to change, bad past
and good present, better future. Life breaking in considered how life events and
relationships 'broke into' cycles of homelessness and drug abuse participants
were caught in. Their combined effect seemed to be to bring participants to a
‘turning point’, where they made a clear decision to change. Participants'
relationship with their past, present and future seemed key in maintaining their
escape. Escape from homelessness was discussed in terms of identity change,
especially the need to repair a broken identity.
The systematic literature review evaluates the evidence for the effectiveness of
therapeutic communities (TCs) for dually-diagnosed homeless. PsycINFO, Web
of Science, ASSIA and PubMed were searched using terms relating to
therapeutic community, homelessness and effectiveness. A total of 113 unique
articles were retrieved and of these ten met inclusion criteria and were reviewed.
The review found that TCs with adaptations for patients with mental illness, in
addition to substance dependency, led to small improvements in substance abuse,
mental health and housing outcomes. However, these effects were short-lived
and few were still present after a year.
In the reflective paper, the experience of conducting research, as a therapist, with
once-homeless men was reflected on and the question of what therapists bring to
research was considered. While therapists may struggle with some aspects of
clinical research, they bring a range of skills and experience to this endeavour.
|Item Type:||Thesis or Dissertation (DClinPsych)|
|Subjects:||H Social Sciences > HV Social pathology. Social and public welfare|
|Library of Congress Subject Headings (LCSH):||Homelessness -- Prevention, Homeless men -- Case studies, Homeless persons -- Mental health services|
|Official Date:||May 2011|
|Institution:||University of Warwick|
|Theses Department:||Department of Psychology|
|Supervisor(s)/Advisor:||Neal, Adrian ; Shaw, Rachel|
Completed in conjunction with Coventry University. School of Health and Social Sciences.
|Extent:||viii, 109 leaves|
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