{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,11]],"date-time":"2026-11-11T03:45:19Z","timestamp":1794368719743,"version":"4.9.0"},"reference-count":26,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2022,1,1]],"date-time":"2022-01-01T00:00:00Z","timestamp":1640995200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/100000025","name":"National Institute of Mental Health","doi-asserted-by":"publisher","award":["R01\u2009MH#84903"],"award-info":[{"award-number":["R01\u2009MH#84903"]}],"id":[{"id":"10.13039\/100000025","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Substance Abuse"],"published-print":{"date-parts":[[2022,12]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>The population of older homeless substance-using adults is growing considerably, and we sought to understand how such individuals gain control of problematic substance use amidst other life problems.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Data were collected in an NIMH-funded study in which four in-depth interviews were conducted over 18\u2009months with formerly homeless adults living in permanent supportive housing. The study subsample was comprised of 15 predominantly African American individuals over age 45 who were in recovery for at least six months. Cross-case analyses used a template approach followed by inductive sub-theme analyses.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Three themes drawn from the literature yielded seven sub-themes as follows. Theme #1: Acute life stressors: (a) \u201csubstance use as primary\u201d; (b) \u201cacute life events and substance use\u201d; (c) \u201cincarceration as turning point.\u201d Theme #2: Attributions of recovery: (a) \u201cquitting as personal decision\u201d; (b) \u201cI just got to stay on top of it\u201d; Theme #3: Social relationships: (a) \u201cI have associates, not friends\u201d; (b) \u201ctaking a cautious approach.\u201d<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Participants viewed substance use as the primary problem in their lives despite other adversity. Recovery was viewed as a personal decision, but maintaining recovery involved positive social relationships. Policies and practices related to recovery should address the complexities of lives-as-lived.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1080\/08897077.2020.1734713","type":"journal-article","created":{"date-parts":[[2020,3,9]],"date-time":"2020-03-09T14:22:06Z","timestamp":1583763726000},"page":"56-63","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":7,"title":["The \u201cHigh Cost of Low Living\u201d: Substance use Recovery among Older Formerly Homeless Adults"],"prefix":"10.1177","volume":"43","author":[{"given":"Deborah","family":"Padgett","sequence":"first","affiliation":[{"name":"Silver School of Social Work, New York University, New York, NY, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kristen","family":"Gurdak","sequence":"additional","affiliation":[{"name":"Silver School of Social Work, New York University, New York, NY, 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