Skip to main content
Skip to and open main menu Home Modification
Information Clearinghouse
Translating high quality research specific to better design and building practice
Translating high quality research specific to better design and building practice

Research Library

The HMinfo Research Library contains an in-depth collection of materials on home modifications and related subjects.

The Research Library does not lend books and other items. Under special circumstances, requests to use the library may be made by emailing .

Search Form

Lifeways of homeless chronically mentally ill individuals in a community housing program

Dissertation Abstracts International: Section B: the Sciences & Engineering

Author: Drury, L. J.
Year: 1995
Type: Journal Article


This study uses a modified ethnonursing approach (Leininger, 1985, 1991) to analyze qualitative data collected during two years of field work with a group of Homeless Chronically Mentally Ill Individuals (HCMI). Leininger's ethnonursing theory was used to promote a holistic view of the lifeways of HCMI individuals who were attempting to leave the streets. The data document the experiences of HCMI individuals who were placed in temporary community housing after discharge from a state mental hospital. Data analysis focuses upon explicating the specific needs of HCMI individuals within the sociocultural environment where those needs exist. This qualitative study explores the personal, cultural, and environmental contexts of life for HCMI individuals and describes the interaction between individuals' needs and community resources. Individuals in the study group suffered from chronic mental illness, substance abuse, and physical illness. Their needs were expressed through efforts to function in the community. Direct requests for care were infrequent. Physical manifestations and circumstantial evidence symbolized unspoken needs. Unmet needs for care were demonstrated by critical incidents which disrupted community life such as household moves, legal disputes, and bureaucratic problems. Findings revealed a culturally based pattern of mutual avoidance between HCMI individuals and caregivers which limited delivery of services to the population. Social policy issues underlying caregiver behavior were discussed. Recommendations include development of nurse-managed systems of care delivery, expansion of nurses' educational experiences with underserved populations, and additional qualitative longitudinal research on HCMI populations.

Further Details

Pages 170
Volume Vol 56(3-B)
Publisher Rush University, College of Nursing
Accession Number 1.4.03
Keywords housing improvement, health improvement, policy compliance, carer

Reads 343