Perceived choice and sense of control: impact on psychiatric symptoms in homeless people

Author/s Chiara Curiale, Michela Lenzi, Marta Gaboardi, Alessio Vieno, Massimo Santinello
Publishing Year 2020 Issue 2020/1
Language Italian Pages 16 P. 13-28 File size 605 KB
DOI 10.3280/PSC2020-001002
DOI is like a bar code for intellectual property: to have more infomation click here

Below, you can see the article first page

If you want to buy this article in PDF format, you can do it, following the instructions to buy download credits

Article preview

FrancoAngeli is member of Publishers International Linking Association, Inc (PILA), a not-for-profit association which run the CrossRef service enabling links to and from online scholarly content.

Little is known about the effectiveness of housing services on mental health problems. The aim of the following study is to evaluate how perceived choice concerning different aspects of the service, founding element in the Housing First model, affects the severity of psychiatric symptoms in an Italian sample of 84 users. The mechanism proposed to explain the action of the program is through "empowerment", operationalised as sense of control that the person feels to have on his/her own life. Finding showed that empowerment is positively associated to perceived choice and, since it’s an important protective factor for mental health, it mediates the positive relation between choice and psychiatric symptoms.

Keywords: Homelessness, housing first, psychiatric symptoms, perceived choice, empower-ment, control.

  1. Pleace (2016). Housing First Guide Europe. -- Tratto da
  2. Rappaport, J. (1987). Terms of empowerment/exemplars of prevention: Toward a theory for community psychology. American Journal of Community Psychology, 15(2), 121-148. DOI: 10.1007/BF00919275
  3. Aubry, T., Ecker, J. & Jetté, J. (2016). Scenari e Pratiche dell’Housing First. Una nuova via dell’accoglienza per la grave emarginazione adulta in Italia. In C. Cortese (a cura di), Supported Housing: un incoraggiante approccio Housing First per persone con gravi o persistenti disturbi mentali (pp. 34-64). Milano: FrancoAngeli.
  4. Beaton, D.E., Bombardier, C., Guillemin, F. & Ferraz, M.B. (2000) Guidelines for the process of cross-cultural adaptation of self-report measures. Spine, 25, 3186-3191. DOI: 10.1097/00007632-200012150-00014
  5. Byron, R.M. & Kenny, D.A. (1986). The Moderator-Mediator Variable Distinction in Social Psychological Research: Conceptual, Strategic, and Statistical Considerations. Journal of Personality and Social Psychology, 51(6), 1173-1182. DOI: 10.1037/0022-3514.51.6.1173
  6. Collins, S.E., Malone, D.K. & Larimer, M.E. (2012). Motivation to change and treatment attendance as predictors of alcohol-use outcomes among project-based Housing First residents. Addictive Behaviors, 37, 931-939.
  7. Conrad, K.J., Yagelka, J.R., Matters, M.D., Rich, A.R., Williams, V. & Buchanan, M. (2001). Reliability and validity of a modified Colorado Symptom Index in a national homeless sample. Mental Health Services Research, 3(3), 141-153. DOI: 10.1023/A:101157153130
  8. Davidson, L. & Strauss, J.S. (1997). Sense of recovery from mental illness. In L. Spaniol, C. Gagne & M. Koehler (Eds.), Psychological and social aspects of psychiatric disability (pp. 25-39). Boston: Center for Psychiatric Research.
  9. Eynan, R., Langley, J., Tolomiczenko, G., Rhodes, A.E., Links, P., Wasylenki, D. & Goering, P. (2002). The association between homelessness and suicidal ideation and behaviors: Results of a cross-sectional survey. Suicide and Life Threatening Behavior, 32(4), 418-427.
  10. Eurostat (2016). Statistiche sulla povertà di reddito. -- Tratto da
  11. FEANTSA & Fondazione Abbé Pierre (2019). Fourth Overview of Housing Exclusion in Europe. -- Tratto da
  12. Gaboardi, M., Lenzi, M., Disperati, F., Santinello, M., Vieno, A., Tinland, A., ... & Bokszczanin, A. (2019). Goals and principles of providers working with people experiencing homelessness: A comparison between housing first and traditional staircase services in eight european countries. International Journal of Environmental Research and Public Health, 16(9), 1590.
  13. Greenwood, R.M., Schaefer-McDaniel, N.J., Winkel, G. & Tsemberis, S.J. (2005). Decreasing psychiatric symptoms by increasing choice in services for adults with histories of homelessness. American Journal of Community Psychology, 36, 223-238.
  14. Greenwood, R.M., Manning, R.M., O’Shaughnessy, B.R., Vargas‐Moniz, M.J., Loubiere, S., Spinnewijn, F., ... & Källmén, H. (2019). Homeless Adults’ Recovery Experiences in Housing First and Traditional Services Programs in Seven European Countries. American Journal of Community Psychology, 1-16.
  15. Habitat for Humanity (2015). Housing Review 2015. -- Tratto da
  16. Henwood, B.F., Padgett, D.K. & Tiderington, E. (2014). Provider views of harm reduction versus abstinence policies within homeless services for dually diagnosed Adults. Journal of Behavioral Health Services & Research, 41(1), 80-89.
  17. Levorato, S., Bocci, G., Troiano, G., Messina, G., Nante, N. (2017). Health status of homeless persons: A pilot study in the Padua municipal dorm. Ann Ig, 29, 54-62.
  18. Miguel, M.C., Ornelas, J. & Maroco, J.P. (2015). Defining psychological empowerment construct: analysis of three empowerment scale. Journal of Community Psychology, 43(7), 900-919.
  19. Kempen, G.I.J.M., Jelicic, M. & Ormel, J. (1997). Personality, chronic medical morbidity, and health-related quality of life among older persons. Health Psychology, 16(6), 539-546. DOI: 10.1037/0278-6133.16.6.539
  20. Ornelas, J. & Duarte, T. (2016). Scenari e Pratiche dell’Housing First. Una nuova via dell’accoglienza per la grave emarginazione adulta in Italia. In C. Cortese (a cura di), Dalla strada alla casa. Progettare un programma Housing First (pp. 109-125). Milano: FrancoAngeli.
  21. Padgett, D.K., Gulcur, L. & Tsemberis, S. (2006). Housing first services for people who are homeless with co-occurring serious mental illness and substance abuse. Research on Social Work Practice, 16(1), 74-83. DOI: 10.1177/1049731505282593
  22. Pearlin, L.I., Menaghan, E.G., Lieberman, M.A. & Mullan, J.T. (1981). The stress process. Journal of Health and Social Behavior, 22(4), 337-356. DOI: 10.2307/2136676
  23. Roberts, B.L., Dunkel, R. & Haug, M. (1994). Physical, psychological, and social resources as moderators of the relationship of stress to mental health in the very old. Journal of Gerontology Social Science, 49, 535-543.
  24. Shern, D.L., Wilson, N.Z., Coen, A.S., Patrick, D.C., Foster, M., Bartsch, D.A. & Demmler, J. (1994). Client Outcomes II: Longitudinal Client Data from the Colorado Treatment Outcome Study. Providing Treatment to Person with Mental Illness, 72(1), 123-148. DOI: 10.2307/3350341
  25. Somers, J.M., Moniruzzaman, A. & Palepu, A. (2015). Changes in daily substance use among people experiencing homelessness and mental illness: 24-month outcomes following randomization to Housing First or usual care. Addiction, 110, 1605-1614.
  26. Srebnik, D., Livingston, J., Gordon, L. & King, D. (1995). Housing choice and community success for individuals with serious and persistent mental illness. Community Mental Health Journal, 31(2), 139-152. DOI: 10.1007/BF02188763
  27. Stefancic, A. & Tsemberis, S. (2007). Housing First for Long-Term Shelter Dwellers with Psychiatric Disabilities in a Suburban County: A FourYear Study of Housing Access and Retention. Journal Primary Prevent, 28, 265-279.
  28. Stergiopoulos, V., Gozdzik, A., Misir, V., Skosireva, A., Connelly, J., Sarang, A. Whisler, A., Hwang, S.W., O’Campo, P. & McKenzie, K. (2015). Effectiveness of Housing First with intensive case management in an ethnically diverse sample of homeless adults with mental illness: A randomized controlled trial. PLoS ONE, 10(7), e0130281.
  29. Szeintuc, S. (2011). The Pathways Housing First (PHF) Model. Journal of Social Work Practice in the Addictions, 11, 408-409. DOI: 10.1080/1533256X.2011.622713
  30. Taylor O., Loubiere S., Tinland A. et al. (2019). Lifetime, 5-year and past-year prevalence of homelessness in Europe: A cross-national survey in eight European nations. British Medical Journal Open, 9, e033237.
  31. Tsemberis, S., Gulcur, L. & Nakae, M. (2004). Housing First, consumer choice, and harm reduction for homeless individuals with a dual diagnosis. American Journal of Public Health, 94(4), 651-656. DOI: 10.2105/AJPH.94.4.651
  32. Tsemberis, S. & Eisenberg, R.F. (2000). Pathways to housing: Supported housing for street-dwelling individuals with psychiatric disabilities. Psychiatric Services, 51, 487-493.
  33. Urbanoski, K., Veldhuizen, S., Krausz, M., Schutz, C., Somers, J.M., Kirst, M. … Goering, P. (2017). Effects of comorbid substance use disorders on outcomes in a Housing First intervention for homeless people with mental illness. Addiction, 113, 137-145.
  34. Zimmerman, M.A. (2000). Empowerment theory: Psychological, organizational and community levels of analysis. In J. Rappaport & E. Seidman (Eds.), Handbook of community psychology. New York: Kluwer Academic/Plenum Publishers.

  • Homeless people's recovery in Housing First and Traditional Services: The role of working alliance in Italian housing services Chiara Curiale, Michela Lenzi, Marta Gaboardi, Claudia Marino, Lucia Ronconi, Silvia Demita, Roberta Cosentino, Francesca Disperati, Massimo Santinello, in Journal of Community Psychology /2023 pp.2758
    DOI: 10.1002/jcop.23055
  • Presentazione del numero. Empowerment and social inclusion Immacolata Di Napoli, Sara Alfieri, in PSICOLOGIA DI COMUNITA' 1/2020 pp.5
    DOI: 10.3280/PSC2020-001001

Chiara Curiale, Michela Lenzi, Marta Gaboardi, Alessio Vieno, Massimo Santinello, Libertà di scelta e senso di controllo: impatto sui sintomi psichiatrici in persone senza dimora in "PSICOLOGIA DI COMUNITA’" 1/2020, pp 13-28, DOI: 10.3280/PSC2020-001002