Recovery Education for Adults Transitioning From Homelessness: A Longitudinal Outcome Evaluation

Objective: Grounded in principles of adult education, Recovery Education Centres (RECs) hold promise in promoting recovery for adults with mental health challenges, but research on recovery outcomes for hard-to-reach populations participating in RECs is scant. This quasi-experimental study compares...

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Autores principales:	Anna Durbin, Rosane Nisenbaum, Ri Wang, Stephen W. Hwang, Nicole Kozloff, Vicky Stergiopoulos
Formato:	article
Lenguaje:	EN
Publicado:	Frontiers Media S.A. 2021
Materias:	empowerment service engagement homelessness mental illness recovery education Psychiatry RC435-571
Acceso en línea:	https://doaj.org/article/85cd334e1a51447d833b1626e2b75fb9
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spelling	oai:doaj.org-article:85cd334e1a51447d833b1626e2b75fb92021-11-22T04:56:00ZRecovery Education for Adults Transitioning From Homelessness: A Longitudinal Outcome Evaluation1664-064010.3389/fpsyt.2021.763396https://doaj.org/article/85cd334e1a51447d833b1626e2b75fb92021-11-01T00:00:00Zhttps://www.frontiersin.org/articles/10.3389/fpsyt.2021.763396/fullhttps://doaj.org/toc/1664-0640Objective: Grounded in principles of adult education, Recovery Education Centres (RECs) hold promise in promoting recovery for adults with mental health challenges, but research on recovery outcomes for hard-to-reach populations participating in RECs is scant. This quasi-experimental study compares 12-month recovery outcomes of adults with histories of homelessness and mental health challenges enrolled in a REC, to those of participants of other community services for this population.Methods: This pre-post quasi-experimental study compared participants enrolled in a REC for people with histories of homelessness and mental health challenges (n = 92) to an age-and-gender frequency matched control group participating in usual services (n = 92) for this population in Toronto, Ontario. Changes from program enrollment to 12 months in personal empowerment (primary outcome), disease specific quality of life, recovery, health status, health related quality of life, and mastery were assessed. Post-hoc analyses compared subgroups with 1–13 h (n = 37) and 14+ h (n = 37) of REC participation during the study period to the control group. Linear mixed models estimated mean changes and differences in mean changes and 95% confidence intervals.Results: Mean change in perceived empowerment from program enrollment to 12 months in the intervention group [0.10 (95% CI: 0.04, 0.15)] was not significantly different from the control group [0.05 (−0.01, 0.11)], mean difference, 0.05 [(−0.03, 0.13), P = 0.25]. In the post-hoc analysis, the mean change in perceived empowerment for the intervention subgroup with 14+ h of REC participation [0.18 (0.10, 0.26)] was significantly different than in the control group [0.05 (−0.01, 0.11)] mean difference, 0.13 [(0.03, 0.23), P < 0.01]. Mean change in mastery was also significantly different for the intervention subgroup with 14+ h of REC participation [2.03 (1.04, 3.02)] vs. controls [0.60 (−0.15, 1.35)], mean difference, 1.43 [(0.19, 2.66), P = 0.02]. There were no significant differences in other outcomes.Conclusion: With sufficient hours of participation, recovery education may be a helpful adjunct to health and social services for adults with mental health challenges transitioning from homelessness.Anna DurbinAnna DurbinAnna DurbinRosane NisenbaumRosane NisenbaumRosane NisenbaumRi WangStephen W. HwangStephen W. HwangNicole KozloffNicole KozloffNicole KozloffVicky StergiopoulosVicky StergiopoulosVicky StergiopoulosVicky StergiopoulosFrontiers Media S.A.articleempowermentservice engagementhomelessnessmental illnessrecovery educationPsychiatryRC435-571ENFrontiers in Psychiatry, Vol 12 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	empowerment service engagement homelessness mental illness recovery education Psychiatry RC435-571
spellingShingle	empowerment service engagement homelessness mental illness recovery education Psychiatry RC435-571 Anna Durbin Anna Durbin Anna Durbin Rosane Nisenbaum Rosane Nisenbaum Rosane Nisenbaum Ri Wang Stephen W. Hwang Stephen W. Hwang Nicole Kozloff Nicole Kozloff Nicole Kozloff Vicky Stergiopoulos Vicky Stergiopoulos Vicky Stergiopoulos Vicky Stergiopoulos Recovery Education for Adults Transitioning From Homelessness: A Longitudinal Outcome Evaluation
description	Objective: Grounded in principles of adult education, Recovery Education Centres (RECs) hold promise in promoting recovery for adults with mental health challenges, but research on recovery outcomes for hard-to-reach populations participating in RECs is scant. This quasi-experimental study compares 12-month recovery outcomes of adults with histories of homelessness and mental health challenges enrolled in a REC, to those of participants of other community services for this population.Methods: This pre-post quasi-experimental study compared participants enrolled in a REC for people with histories of homelessness and mental health challenges (n = 92) to an age-and-gender frequency matched control group participating in usual services (n = 92) for this population in Toronto, Ontario. Changes from program enrollment to 12 months in personal empowerment (primary outcome), disease specific quality of life, recovery, health status, health related quality of life, and mastery were assessed. Post-hoc analyses compared subgroups with 1–13 h (n = 37) and 14+ h (n = 37) of REC participation during the study period to the control group. Linear mixed models estimated mean changes and differences in mean changes and 95% confidence intervals.Results: Mean change in perceived empowerment from program enrollment to 12 months in the intervention group [0.10 (95% CI: 0.04, 0.15)] was not significantly different from the control group [0.05 (−0.01, 0.11)], mean difference, 0.05 [(−0.03, 0.13), P = 0.25]. In the post-hoc analysis, the mean change in perceived empowerment for the intervention subgroup with 14+ h of REC participation [0.18 (0.10, 0.26)] was significantly different than in the control group [0.05 (−0.01, 0.11)] mean difference, 0.13 [(0.03, 0.23), P < 0.01]. Mean change in mastery was also significantly different for the intervention subgroup with 14+ h of REC participation [2.03 (1.04, 3.02)] vs. controls [0.60 (−0.15, 1.35)], mean difference, 1.43 [(0.19, 2.66), P = 0.02]. There were no significant differences in other outcomes.Conclusion: With sufficient hours of participation, recovery education may be a helpful adjunct to health and social services for adults with mental health challenges transitioning from homelessness.
format	article
author	Anna Durbin Anna Durbin Anna Durbin Rosane Nisenbaum Rosane Nisenbaum Rosane Nisenbaum Ri Wang Stephen W. Hwang Stephen W. Hwang Nicole Kozloff Nicole Kozloff Nicole Kozloff Vicky Stergiopoulos Vicky Stergiopoulos Vicky Stergiopoulos Vicky Stergiopoulos
author_facet	Anna Durbin Anna Durbin Anna Durbin Rosane Nisenbaum Rosane Nisenbaum Rosane Nisenbaum Ri Wang Stephen W. Hwang Stephen W. Hwang Nicole Kozloff Nicole Kozloff Nicole Kozloff Vicky Stergiopoulos Vicky Stergiopoulos Vicky Stergiopoulos Vicky Stergiopoulos
author_sort	Anna Durbin
title	Recovery Education for Adults Transitioning From Homelessness: A Longitudinal Outcome Evaluation
title_short	Recovery Education for Adults Transitioning From Homelessness: A Longitudinal Outcome Evaluation
title_full	Recovery Education for Adults Transitioning From Homelessness: A Longitudinal Outcome Evaluation
title_fullStr	Recovery Education for Adults Transitioning From Homelessness: A Longitudinal Outcome Evaluation
title_full_unstemmed	Recovery Education for Adults Transitioning From Homelessness: A Longitudinal Outcome Evaluation
title_sort	recovery education for adults transitioning from homelessness: a longitudinal outcome evaluation
publisher	Frontiers Media S.A.
publishDate	2021
url	https://doaj.org/article/85cd334e1a51447d833b1626e2b75fb9
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Recovery Education for Adults Transitioning From Homelessness: A Longitudinal Outcome Evaluation

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