Reciprocity in Support Networks of Sheltered-Care Residents

  • Steven P. Segal
  • Jane Holschuh
Chapter
Part of the Topics in Social Psychiatry book series (TSPS)

Abstract

The socially debilitating effects of long-term hospitalization or insti-tutionalization are well documented (Barton, 1959; Goffman, 1961; Gruenberg, 1967; Shadoan, 1976; Wing, 1962). Rose (1959) and Evans, Bullard, and Solomon (1961) reported that the longer a person was institutionalized, the more his or her social contacts, especially family relationships, became disrupted, disengaged, and disintegrated. However, inequity of support exchanges can lead members of the mentally disordered person’s social network to run the risk of excessive burden, exhaustion, and burnout in providing essential care to the disabled person (Froland, Brodsky, Olson, & Stewart, 1979; Sullivan & Poertner, 1989). This burden has been considered a key element in the abandonment and resulting isolation of persons with serious mental disorders. Thus, mutuality of exchange is considered crucial to the maintenance of effective support systems for this vulnerable population (Froland et al., 1979; Moxley, 1988; Parks & Pilisuk, 1984; Tolsdorf, 1976).

Keywords

Social Network Emotional Support Reciprocal Relationship Network Member Brief Psychiatric Rate Scale 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.
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References

  1. Antonucci, T. C., & Depner, C. E. (1982). Social support and informal helping relationships. In T. A. Wills (Ed.), Basic processes in helping relationships. New York: Academic Press.Google Scholar
  2. Appleby, L., & Desai, P. (1987). Residential instability: A perspective on system imbalance. American Journal of Orthopsychiatry, 57, 515–524.PubMedCrossRefGoogle Scholar
  3. Aldrich, J. H., & Nelson, F. D. (1984). Linear probability, logit, and probit models. Newbury Park, CA: Sage.Google Scholar
  4. Bachrach, L. L. (1984). Asylum and chronically ill psychiatric patients. American Journal of Psychiatry, 141, 975–978.PubMedGoogle Scholar
  5. Barton, R. (1959). Institutional neurosis. Briston, U.K.: Wright.Google Scholar
  6. Berkman, L. F., & Syme, S. L. (1979). Social networks, host resistance, and mortality: A nine-year follow-up study of Alameda County residents. American Journal of Epidemiology, 109, 186–204.PubMedGoogle Scholar
  7. Brier, A., & Strauss, J. (1984). The role of social relationships in the recovery from psychotic disorders. American Journal of Psychiatry, 141, 949–995.Google Scholar
  8. Cassel, J. (1976). The contribution of the social environment to host resistance. American Journal of Epidemiology, 104, 107–123.PubMedGoogle Scholar
  9. Cobb, S. (1976). Social support as a moderator of life stress. Psychosomatic Medicine, 38, 300–314.PubMedGoogle Scholar
  10. Cohen, C. I., & Sokolovsky, J. (1978). Schizophrenia and social networks: Expatients in the inner city. Schizophrenia Bulletin, 4, 546–560.PubMedCrossRefGoogle Scholar
  11. Cohen, S., & Syme, S. L. (1985). Issues in the study and application of social support. In S. Cohen (Ed.), Social support and health. Orlando, FL: Academic Press.Google Scholar
  12. Cometa, M. S., Morrison, J. D., & Ziskoven, M. (1979). Halfway to where: A critique of research on psychiatric halfway houses. Journal of Community Psychology, 7, 23–27.PubMedCrossRefGoogle Scholar
  13. Crystal, S., Ladner, S., & Towber, R. (1986). Multiple impairment patterns in the mentally ill homeless. International Journal of Mental Health, 14, 61–73.Google Scholar
  14. Drake, R. E., Wallach, M. A., & Hoffman, J. S. (1989). Housing instability and homelessness among aftercare patients of an urban state hospital. Hospital and Community Psychiatry, 40, 46–51.PubMedGoogle Scholar
  15. Evans, A. S., Bullard, D. M., & Solomon, M. H. (1961). The family as a potential resource in the rehabilitation of the chronic schizophrenic patient: A study of 60 patients and their families. American Journal of Psychiatry, 117, 1075–1083.PubMedGoogle Scholar
  16. Ewalt, P., & Honeyfield, R. (1981). Needs of persons in long-term care. Social Work, 26, 223–231.PubMedGoogle Scholar
  17. Froland, C., Brodsky, G., Olson, M., & Stewart, L. (1979). Social support and social adjustment: Implications for mental health professionals. Community Mental Health Journal, 15, 82–93.PubMedCrossRefGoogle Scholar
  18. Goffman, E. (1961). Asylums: Essays on the social situation of mental patients and other inmates. Garden City, NY: Doubleday.Google Scholar
  19. Gottlieb, B. H. (1981). Preventive interventions involving social networks and social support. In B. H. Gottlieb (Ed.), Social networks and social support (pp. 201–232). Beverly Hills, CA: Sage.Google Scholar
  20. Gruenberg, E. M. (1967). The social breakdown syndrome: Some origins. American Journal of Psychiatry, 123, 12–20.Google Scholar
  21. Hammer, M. (1963). Influence of small social networks as factors on mental hospital admission. Human Organization, 22, 243–251.Google Scholar
  22. Hammer, M. (1981). Social supports, social networks, and schizophrenia. Schizophrenia Bulletin, 7, 45–57.PubMedCrossRefGoogle Scholar
  23. Heller, K. (1979). The effects of social support: Prevention and treatment implications. In A. P. Goldstein, & F. H. Kanfer (Eds.), Maximizing treatment gains: Transfer enhancement in psychotherapy. New York: Academic Press.Google Scholar
  24. Hosmer, D. W., & Lemeshow, S. (1989). Applied logistic regression. New York: Wiley.Google Scholar
  25. House, J. S., Landis, K. R., & Umberson, D. (1988). Social relationships and health. Science, 241, 540–545.PubMedCrossRefGoogle Scholar
  26. Lamb, H. R., & Peele, R. (1984). The need for continuing asylum and sanctuary. Hospital and Community Psychiatry, 35, 798–802.PubMedGoogle Scholar
  27. Langner, T. S. (1962). A 22-item screening score of psychiatric symptoms indicating impairment. Journal of Health and Human Behavior, 3, 269–276.PubMedCrossRefGoogle Scholar
  28. Lipton, F. R., Cohen, C. I., Fischer, E., & Katz, S. (1981). Schizophrenia: A network crisis. Schizophrenia Bulletin, 7, 144–151.PubMedCrossRefGoogle Scholar
  29. Lowenthal, M. F., & Haven, C. (1968). Interaction and adaptation: Intimacy as a critical variable. American Sociological Review, 33, 20–30.PubMedCrossRefGoogle Scholar
  30. Miller, P., & Ingham, J. G. (1976). Friends, confidants, and symptoms. Social Psychiatry, 11, 51–58.CrossRefGoogle Scholar
  31. Moos, R. H. (1974). Evaluating treatment environments: An ecological approach. New York: Wiley.Google Scholar
  32. Moos, R. H. (1975). Evaluating correctional and community settings. New York: Wiley.Google Scholar
  33. Moxley, D. P. (1988). Measuring social support networks of persons with psychiatric disabilities. Psychosocial Rehabilitation Journal, 11, 19–72.Google Scholar
  34. Overall, J. E., & Gorham, D. R. (1962). The Brief Psychiatric Rating Scale. Psychological Reports, 10, 799–812.CrossRefGoogle Scholar
  35. Parks, S. H., & Pilisuk, M. (1984). Personal support systems of former mental patients residing in board and care facilities. Journal of Community Psychology, 12, 230–244.PubMedCrossRefGoogle Scholar
  36. Pattison, E. M., DeFrancisco, D., Wood, P., Frazier, H., & Crowder, J. (1975). A psychosocial kinship model for family therapy. American Journal of Psychiatry, 132, 1246–1251.PubMedGoogle Scholar
  37. Rhoades, H. M., & Overall, J. E. (1988). The semi-structured Brief Psychiatric Rating Scale interview and rating guide. Psychopharmacology Bulletin, 24, 101–104.PubMedGoogle Scholar
  38. Rose, C. (1959). Relatives’ attitudes and mental hospitalization. Mental Hygiene, 43, 194–203.PubMedGoogle Scholar
  39. Segal, S. P., & Aviram, U. (1978). The mentally ill in community-based sheltered care: A study of community care and social integration. New York: Wiley.Google Scholar
  40. Segal, S. P., & Choi, M. G. (1991). Factors affecting SSI support for sheltered care residents with serious mental illness. Hospital and Community Psychiatry, 42, 1132–1137.PubMedGoogle Scholar
  41. Segal, S. P., & Holschuh, J. (1991). Effects of sheltered care environments and resident characteristics on the development of social networks. Hospital and Community Psychiatry, 42, 1125–1131.PubMedGoogle Scholar
  42. Segal, S. P., & Kotier, P. (1993). Sheltered care residence and personal outcomes. American Journal of Orthopsychiatry, 68, 80–91.CrossRefGoogle Scholar
  43. Shadoan, R. A. (1976). Making board-and-care homes therapeutic. In H. R. Lamb & Associates (Ed.), Community survival for long-term patients. San Francisco: Jossey-Bass.Google Scholar
  44. Sommer, R., & Witney, G. (1961). The chain of chronicity. American Journal of Psychiatry, 118, 111–117.Google Scholar
  45. Sullivan, W. P., & Poertner, J. (1989). Social support and life stress: A mental health consumer’s perspective. Community Mental Health Journal, 25, 21–32.PubMedCrossRefGoogle Scholar
  46. Thoits, P. A. (1982). Conceptual, methodological and theoretical problems in studying social support as a buffer against life stress. Journal of Health and Social Behavior, 23, 145–159.PubMedCrossRefGoogle Scholar
  47. Tolsdorf, C. C. (1976). Social networks, support, and coping: An exploratory study. Family Process, 15, 407–417.PubMedCrossRefGoogle Scholar
  48. Van Putten, T., & Spar, J. E. (1979). The board-and care home: Does it deserve bad press? Hospital and Community Psychiatry, 30, 461–464.PubMedGoogle Scholar

Copyright information

© Springer Science+Business Media New York 1995

Authors and Affiliations

  • Steven P. Segal
    • 1
  • Jane Holschuh
    • 2
  1. 1.Mental Health and Social Welfare Research Group, School of Social WelfareUniversity of CaliforniaBerkeleyUSA
  2. 2.School of Social WorkUniversity of WisconsinMadisonUSA

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