Association between housing, personal capacity factors and community participation among persons with psychiatric disabilities. (February 2018)

• Record Type: Journal Article
• Authors: Yanos, Philip T.; Stefancic, Ana; Alexander, Mary Jane; Gonzales, Lauren; Harney-Delehanty, Brianna
• Is Part Of: Psychiatry research. Volume 260(2018)
• Page Start: 300
• Page End: 306
• Publication Date: 2018-02
• Subjects: Community participation -- Housing -- Coping; Psychiatry -- Periodicals; Psychiatry -- periodicals; Psychiatrie -- Périodiques; 616.89
• DOI: 10.1016/j.psychres.2017.11.088
• Languages: English
• ISSNs: 0165-1781

Abstract

Abstract: There is a need to understand which housing and personal capacity factors facilitate and hinder maximum community participation among people with psychiatric disabilities. The present study examined housing and personal capacity factors associated with community participation in a large sample of persons with psychiatric disabilities living in the same neighborhoods (defined by specified zip codes). Three hundred and forty-three persons with psychiatric disabilities were recruited from congregate and independent scatter-site housing programs in 3 New York City-area neighborhoods with high concentrations of housing for persons with psychiatric disabilities. Participants completed measures of community participation, psychiatric symptoms, substance use, independent living-skill, self-efficacy, and coping style. Community participation measures grouped into 3 factors: social community participation, physical community participation, and vocational involvement. Social community participation was associated with negative symptoms and active coping, but not by housing. Independent living-skill moderated the relationship between independent scatter-site housing and social community participation. Physical community participation was associated with negative symptoms, active coping, independent living-skill, and residence in independent scatter-site housing. Vocational involvement was only associated with negative symptoms. Findings suggest that a complex array of personal capacity and housing factors are associated with community participation among persons with psychiatric disabilities. Highlights: Social community participation was associated with negative symptoms and active coping, but not by housing. Persons in independent scatter-site housing who had more independent living-skill had better social community participation, while the reverse was true for persons in independent scatter-site housing who had less independent living-skill. Physical community participation was associated with negative symptoms, active coping, independent living-skill, and residence in independent scatter-site housing. Vocational involvement was only associated with negative symptoms.