Neale Joanne, Stevenson Caral
Addictions Department, Institute of Psychiatry, Psychology and Neuroscience, King's College London, 4 Windsor Walk, Denmark Hill, London SE5 8AF, UK; Centre for Social Research in Health, University of New South Wales, Sydney, NSW 2052, Australia.
Department of Psychology, Social Work and Public Health, Oxford Brookes University, Jack Straws Lane, Marston, Oxford OX3 0FL, UK.
Int J Drug Policy. 2015 May;26(5):475-83. doi: 10.1016/j.drugpo.2014.09.012. Epub 2014 Oct 7.
Homeless people who use drugs and alcohol have been described as one of the most marginalised groups in society. In this paper, we explore the relationships of homeless drug and alcohol users who live in hostels in order to ascertain the nature and extent of their social and recovery capital.
Data were collected during 2013 and 2014 from three hostels. Each hostel was in a different English city and varied in size and organisational structure. Semi-structured interviews were conducted with 30 residents (21 men; 9 women) who self-reported current drink and/or drug problems. Follow-up interviews were completed after 4-6 weeks with 22 residents (16 men; 6 women). Audio recordings of all interviews were transcribed verbatim, systematically coded and analysed using Framework.
Participants' main relationships involved family members, professionals, other hostel residents, friends outside of hostels, current and former partners, and enemies. Social networks were relatively small, but based on diverse forms of, often reciprocal, practical and emotional support, encompassing protection, companionship, and love. The extent to which participants' contacts provided a stable source of social capital over time was, nonetheless, uncertain. Hostel residents who used drugs and alcohol welcomed and valued interaction with, and assistance from, hostel staff; women appeared to have larger social networks than men; and hostels varied in the level of enmity between residents and antipathy towards staff.
Homeless hostel residents who use drugs and alcohol have various opportunities for building social capital that can in turn foster recovery capital. Therapies that focus on promoting positive social networks amongst people experiencing addiction seem to offer a valuable way of working with homeless hostel residents who use drugs and alcohol. Gains are, however, likely to be maximised where hostel management and staff are supportive of, and actively engage with, therapy delivery.
使用毒品和酒精的无家可归者被描述为社会中最边缘化的群体之一。在本文中,我们探讨居住在收容所的无家可归的吸毒和酗酒者之间的关系,以确定他们社会资本和康复资本的性质及程度。
2013年至2014年期间从三个收容所收集数据。每个收容所位于英国不同城市,规模和组织结构各异。对30名自我报告有当前饮酒和/或吸毒问题的居民(21名男性;9名女性)进行了半结构化访谈。4至6周后对22名居民(16名男性;6名女性)进行了随访访谈。所有访谈的录音均逐字转录,使用框架法进行系统编码和分析。
参与者的主要关系涉及家庭成员、专业人员、其他收容所居民、收容所以外的朋友、现任和前任伴侣以及敌人。社交网络相对较小,但基于多种形式的、通常是相互的、实际的和情感上的支持,包括保护、陪伴和关爱。然而,随着时间的推移,参与者的联系人在多大程度上提供了稳定的社会资本来源尚不确定。使用毒品和酒精的收容所居民欢迎并重视与收容所工作人员的互动和他们提供的帮助;女性的社交网络似乎比男性更大;不同收容所居民之间的敌意程度以及对工作人员的反感程度各不相同。
使用毒品和酒精的无家可归的收容所居民有各种建立社会资本的机会,而社会资本反过来又可以促进康复资本。专注于在成瘾者中促进积极社交网络的疗法似乎为与使用毒品和酒精的无家可归的收容所居民合作提供了一种有价值的方式。然而,只有当收容所管理部门和工作人员支持并积极参与治疗实施时,收益才可能最大化。