Content Analysis of Health Concerns among Housing First Residents with a History of Alcohol Use Disorder

Previous research has utilized survey and administrative data to document health problems among Housing First (HF) residents; however, little is known about residents' personal perspectives on their health. The purpose of this study was to utilize conventional content analysis to analyze health...

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Bibliographic Details
Published inJournal of health care for the poor and underserved Vol. 32; no. 1; pp. 463 - 486
Main Authors Mackelprang, Jessica L, Clifasefi, Seema L, Grazioli, Véronique S, Collins, Susan E
Format Journal Article
LanguageEnglish
Published United States Johns Hopkins University Press 2021
Subjects
Adult
Aged
Aging
Alcohol related disorders
Alcohol use
Alcoholism
Alcoholism - epidemiology
Alcohols
Case management
Chronic illnesses
Content analysis
Counseling
Drug use
End of life
End of life decisions
Grief
Health education
Health problems
Health promotion
Health services
Homeless people
Homelessness
Hospice care
Housing
Humans
Ill-Housed Persons
Independent Living
Mortality
Onsite
Population
Psychologists
Qualitative research
Residents
Social Problems
Vulnerability
United States > US
Alaska
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Summary:Previous research has utilized survey and administrative data to document health problems among Housing First (HF) residents; however, little is known about residents' personal perspectives on their health. The purpose of this study was to utilize conventional content analysis to analyze health-related concerns among HF residents with histories of alcohol use disorder. Between June and December 2013, we interviewed 44 adults who had histories of chronic homelessness and alcohol use disorder and were residing in single-site HF in Seattle, Washington. Responses centered on five primary topics: alcohol-related harm, perceived health vulnerability, concern for fellow residents' health, end of life, and health and safety promotion. HF residents experience complex alcohol-exacerbated health difficulties and existing health services may not meet the needs of those whose health is particularly compromised. Considering that HF facilitates aging in place, end-of-life care and grief counseling should be integrated into HF services.
ISSN:1049-2089
1548-6869
1548-6869
DOI:10.1353/hpu.2021.0035