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Responses to loss: An exploratory st...

Sharkey, Marian.

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Responses to loss: An exploratory study of how homeless adults with severe mental illness and comorbid substance abuse in residential treatment experience and cope with loss in the context of their relationships with program staff.

Record Type:	Language materials, printed : Monograph/item
Title/Author:	Responses to loss: An exploratory study of how homeless adults with severe mental illness and comorbid substance abuse in residential treatment experience and cope with loss in the context of their relationships with program staff./
Author:	Sharkey, Marian.
Description:	263 p.
Notes:	Adviser: James Marley.
Contained By:	Dissertation Abstracts International68-04A.
Subject:	Social Work. -
Online resource:	http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=3261323

Responses to loss: An exploratory study of how homeless adults with severe mental illness and comorbid substance abuse in residential treatment experience and cope with loss in the context of their relationships with program staff.
Sharkey, Marian.

Responses to loss: An exploratory study of how homeless adults with severe mental illness and comorbid substance abuse in residential treatment experience and cope with loss in the context of their relationships with program staff. - 263 p.

Adviser: James Marley.

Thesis (Ph.D.)--Loyola University Chicago, 2007.

Objective. To advance our understanding of to what degree homeless individuals with severe mental illness including comorbid substance abuse in residential programs make use of their relationships with program staff to cope with loss. Method. Content analyses of 90 case records of clients who had participated in a transitional housing program generated four domains: (1) types of experiences clients perceived as losses; (2) types of coping behaviors clients exhibited in response to loss; (3) the process of how clients used staff relationships to cope more adaptively with loss; and (4) relational themes that arose in response to loss. Domains were then analyzed to represent client-staff relationships from 10 different program years. Data included client, program staff, and external treatment provider perspectives. Results. Findings from analyses of thirteen questions include: (1) Over time, clients were able to utilize their relationships with staff to cope more adaptively with loss. Four categories of "significant relationship shifts" emerged that represented pivotal moments when clients newly turned to staff relationships to cope with loss rather than responding to loss with maladaptive coping strategies they exhibited previously. Severe loss was one factor that precipitated significant shifts in constructive use of staff relationships in one-third of cases. (2) Analyses of relationship themes suggest that losses not directly associated with personal relationship experience may be perceived as relationship rejection, abandonment, or mistreatment. (3) Staff absences, terminations, and discharge were among the most challenging losses for clients.(4) One-third of clients responded to current loss by rejection of any staff relationship help by means of threatening to leave the program or, in almost one-quarter of cases, breaking program rules that could lead to discharge. Practice, programming, and policy implications are discussed.Subjects--Topical Terms:

617587
Social Work.

Responses to loss: An exploratory study of how homeless adults with severe mental illness and comorbid substance abuse in residential treatment experience and cope with loss in the context of their relationships with program staff.
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245 1 0 $a Responses to loss: An exploratory study of how homeless adults with severe mental illness and comorbid substance abuse in residential treatment experience and cope with loss in the context of their relationships with program staff.
300 $a 263 p.
500 $a Adviser: James Marley.
500 $a Source: Dissertation Abstracts International, Volume: 68-04, Section: A, page: 1662.
502 $a Thesis (Ph.D.)--Loyola University Chicago, 2007.
520 $a Objective. To advance our understanding of to what degree homeless individuals with severe mental illness including comorbid substance abuse in residential programs make use of their relationships with program staff to cope with loss. Method. Content analyses of 90 case records of clients who had participated in a transitional housing program generated four domains: (1) types of experiences clients perceived as losses; (2) types of coping behaviors clients exhibited in response to loss; (3) the process of how clients used staff relationships to cope more adaptively with loss; and (4) relational themes that arose in response to loss. Domains were then analyzed to represent client-staff relationships from 10 different program years. Data included client, program staff, and external treatment provider perspectives. Results. Findings from analyses of thirteen questions include: (1) Over time, clients were able to utilize their relationships with staff to cope more adaptively with loss. Four categories of "significant relationship shifts" emerged that represented pivotal moments when clients newly turned to staff relationships to cope with loss rather than responding to loss with maladaptive coping strategies they exhibited previously. Severe loss was one factor that precipitated significant shifts in constructive use of staff relationships in one-third of cases. (2) Analyses of relationship themes suggest that losses not directly associated with personal relationship experience may be perceived as relationship rejection, abandonment, or mistreatment. (3) Staff absences, terminations, and discharge were among the most challenging losses for clients.(4) One-third of clients responded to current loss by rejection of any staff relationship help by means of threatening to leave the program or, in almost one-quarter of cases, breaking program rules that could lead to discharge. Practice, programming, and policy implications are discussed.
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