{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,6]],"date-time":"2026-05-06T13:32:43Z","timestamp":1778074363405,"version":"3.51.4"},"reference-count":34,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2024,10,4]],"date-time":"2024-10-04T00:00:00Z","timestamp":1728000000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2024,10,4]],"date-time":"2024-10-04T00:00:00Z","timestamp":1728000000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"name":"Department of Veterans Affairs Health Services Research and Development","award":["DEI-SUPP-023"],"award-info":[{"award-number":["DEI-SUPP-023"]}]},{"name":"Department of Veterans Affairs, Veterans Health Administration, Health Services Research and Development and VISN-22 Mental Illness Research, Education and Clinical Center","award":["IIR 19-392"],"award-info":[{"award-number":["IIR 19-392"]}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["BMC Health Serv Res"],"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Background<\/jats:title>\n                <jats:p>Social integration (i.e., reciprocal interactions with peers and community members) is a notable challenge for many homeless-experienced adults with serious mental illness (SMI). In this study, we examine a range of housing services offered to homeless-experienced adults with SMI and identify the impacts of supportive services on participants\u2019 social integration outcomes, with the goal of improving services in transitional and permanent housing settings for homeless-experienced adults with SMI.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Methods<\/jats:title>\n                <jats:p>Through semi-structured interviews with homeless-experienced adults with SMI (<jats:italic>n<\/jats:italic>\u2009=\u200930), we examine the impacts of housing and service settings on participants\u2019 social integration. Participants received services in a variety of housing settings, including transitional housing with congregate\/shared living (<jats:italic>n<\/jats:italic>\u2009=\u200910), transitional housing with individual quarters (<jats:italic>n<\/jats:italic>\u2009=\u200910), and permanent supportive housing (<jats:italic>n<\/jats:italic>\u2009=\u200910).<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Results<\/jats:title>\n                <jats:p>Participants expressed caution in developing social relationships, as these could pose barriers to recovery goals (e.g., substance use recovery). For many, social integration was secondary to mental and physical health and\/or housing stability goals. Individual quarters gave individuals a place of respite and a sense of control regarding when and with whom they socialized. Meeting recovery goals was strongly related to connecting to and receiving a range of supportive services; interviews suggest that proximity to services was critical for engagement in these resources.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusions<\/jats:title>\n                <jats:p>Programs serving homeless experienced adults with SMI should seek to understand how individuals conceptualize social integration, and how social relationships can either support or hinder participants\u2019 recovery journey.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1186\/s12913-024-11678-6","type":"journal-article","created":{"date-parts":[[2024,10,4]],"date-time":"2024-10-04T04:11:41Z","timestamp":1728015101000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Pathways to social integration among homeless-experienced adults with serious mental illness: a qualitative perspective"],"prefix":"10.1186","volume":"24","author":[{"given":"Melissa","family":"Chinchilla","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Aaron","family":"Lulla","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dylan","family":"Agans","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stephanie","family":"Chassman","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sonya E.","family":"Gabrielian","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alexander S.","family":"Young","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2024,10,4]]},"reference":[{"key":"11678_CR1","unstructured":"Wolfensberger W, Thomas S. 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This study was reviewed and approved by VA Greater Los Angeles\u2019 Institutional Review Board in accordance with human subjects\u2019 protection standards as codified in the \u201cCommon Rule.\u201d","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Not applicable.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare no competing interests.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"1180"}}