Transitions through homelessness: the impact of psychosocial factors on well-being and outcomes in a homeless sample

Abstract

Homelessness is a complex social issue that is of increasing concern to most developed nations. Homelessness is more than not having a house; it is a form of social exclusion and carries significant physical, psychological, and social challenges. The broad aim of the current thesis was to investigate how the psychological and social aspects of the homeless experience can influence outcomes, such as well-being. In particular, the research focuses on processes related to social categories, social identities, and social support of people, as people transition through homeless accommodation services. The first empirical chapters (Chapter 4 and 5) focus on the impact of self-categorization as homeless. Study 1 (Chapter 4) was a qualitative and quantitative cross-sectional study with 119 residents of homeless accommodation services in South-East Queensland. Results demonstrated that while the majority of participants accepted the homeless label (55%), a large portion of residents (31%) rejected the homeless label, or were ambivalent (14%). Respondents who rejected the homeless label reported greater personal well-being and lower negative mood symptoms than participants who accepted the label. Study 2 (Chapter 5) explored this further using an experimental paradigm among 80 residents of a homeless service. Participants who were required to self-categorize as homeless at the beginning of the questionnaire had significantly lower future life aspirations and perceived competency than participants who did not. Further, future life aspirations and perceived competency both mediated the relationship between self-categorization and well-being. Studies 3 and 4 (Chapters 6 and 7) focus on social identity processes for people transitioning through homelessness. Study 3 assessed how multiple group memberships and service identification related to well-being and positive housing outcomes among 76 participants while they were residing in a homeless accommodation service and again 2 – 4 weeks after leaving the service (or three months later if participants had not left the service). The results found that multiple group memberships and service identification independently predicted well-being at Time 2, via social support. Both social identity processes also indirectly predicted housing outcomes via social support. Study 4 built on this research by exploring the antecedents and outcomes that are related to service identification among 296 residents across 19 services. Characteristics of the service delivery model and perceptions of discrimination predicted participants’ identification with staff. Further, identification with staff predicted service engagement 6 months later and identification with residents predicted joining new groups 6 months later. The final study (Chapter 8) examined how one of these social processes, namely the relationship between social support and well-being, related to an “individual” trait - emotion regulation. Results from a one-year longitudinal study, conducted over three time-points, supported a bi-directional mediation model between social support and emotion regulation, on well-being. Specifically, the positive impact of higher levels of social support on well-being was partly mediated by higher emotion regulation, and the negative impact of poor emotion regulation on well-being was partly mediated by lower social support. The thesis concludes with a broad discussion summarising the findings and the implications of the research. We discuss the role and consequences of the homeless category in defining people, the potential importance and benefits of taking a social group belonging and identification approach within homelessness services, and the benefits of taking an interpersonal conceptualisation for variables that are often only examined as individual traits.