Striving for meaning-Life in supported housing for people with psychiatric disabilities

Int J Qual Stud Health Well-being. 2016 May 10:11:31249. doi: 10.3402/qhw.v11.31249. eCollection 2016.

Abstract

The aim of this study was to develop a grounded theory about people with psychiatric disabilities, living in supported housing. Interviews as well as observations during the interviews were analyzed together with secondary analyses of quantitative and qualitative material from previous studies. Being deprived of self-determination emerged as the main concern for residents in supported housing and striving for meaning emerged as the pattern of behavior through which this group resolves their main concern. Striving for meaning involves living in the present, striving for self-determination, strengthening self-esteem, emotional processing and resting from the present. The strategies facilitate each other and are used singly, together simultaneously, or alternately. If they are successful, a meaning in the present is perceived. If all the strategies fail repeatedly, escaping from the present is used in order to deal with being deprived of self-determination. The implications of the findings suggest prioritizing a reduction of the institutional nature of the social and physical environment, and to support the residents' self-determination.

Keywords: Grounded theory; psychiatric disabilities; self-determination; supported housing.

MeSH terms

  • Adult
  • Aged
  • Attitude to Health
  • Disabled Persons / psychology*
  • Emotions*
  • Environment
  • Female
  • Grounded Theory
  • Housing*
  • Humans
  • Institutionalization
  • Male
  • Mental Disorders*
  • Middle Aged
  • Personal Autonomy*
  • Self Concept
  • Social Environment
  • Social Work, Psychiatric*
  • Young Adult