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Motivational Interviewing in Permanent Supportive Housing: The Role of Organizational Culture
Open accessAbstract
This study evaluated motivational interviewing (MI) in a permanent supportive housing agency. The agency's contradictory social service and business missions resulted in an incompatible organizational culture theorized to diminish MI's effectiveness. A combination of observational, interview, and archival data collected over 3 years were used to examine MI implementation within an incompatible supportive housing agency. Two major themes arose: how MI is used to categorize and change clients in permanent supportive housing and how worker-worker relationships affect MI implementation. The results suggest that within incompatible organizational environments, key elements of effective MI implementation are greatly weakened.
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“Case managers perceived MI to have limited benefits, as training focused on preventing and responding to crisis situations (i.e., agency agenda), but not how to address more holistic goals using MI (i.e., client agenda)”
From Harm reduction outcomes and practices in Housing First: A mixed-methods systematic review (2021) · cites this paper as van den Berk-Clark et al. (2015)
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“Procedures were established when PSH tenants were in the 'relapse' stage of change in an attempt to tip the decision balance in favor of negative consequences through more coercive methods”
From Harm reduction outcomes and practices in Housing First: A mixed-methods systematic review (2021) · cites this paper as van den Berk-Clark et al. (2015)
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“Many White case managers doubted their ability to negotiate with tenants”
From Harm reduction outcomes and practices in Housing First: A mixed-methods systematic review (2021) · cites this paper as van den Berk-Clark et al. (2015)
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“they did not close their office doors when having private meetings, and were passive in their communication style or involved a property manager that would threaten tenants when they were using substances”
From Harm reduction outcomes and practices in Housing First: A mixed-methods systematic review (2021) · cites this paper as van den Berk-Clark et al. (2015)
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Citations
Cites
Housing First, Consumer Choice, and Harm Reduction for Homeless Individuals With a Dual Diagnosis
Tsemberis, S., Gulcur, L., & Nakae, M. (2004) · American Journal of Public Health · doi:10.2105/ajph.94.4.651 · Cited by 1,359 · cited 2×
“Housing-first models that provide higher institutional leverage to social services (as opposed to the business of housing), like those using Tsemberis’s ‘‘Pathways’’ model (see Tsemberis et al. 2004), therefore, may be more compatible with MI interventions.”
Gallo, K. P., & Barlow, D. H. (2012) · Clinical Psychology: Science and Practice · doi:10.1111/j.1468-2850.2012.01276.x · Cited by 88
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Cited by
Sorted by citations
Harm reduction outcomes and practices in Housing First: A mixed-methods systematic review
Kerman, N., Polillo, A., Bardwell, G., Gran-Ruaz, S., Savage, C., Felteau, C., & Tsemberis, S. (2021) · Drug and Alcohol Dependence · doi:10.1016/j.drugalcdep.2021.109052 · Cited by 42
Metadata
- Authors
- van den Berk-Clark, C., Patterson Silver Wolf, D. A., & Ramsey, A.
- Affiliations
- Washington University in St. Louis (US)
- ORCID
- Ramsey, Alex
- Venue
- Administration and Policy in Mental Health and Mental Health Services Research
- Published
- 2014-08-17
- Volume
- 42
- Issue
- 4
- Pages
- 439-448
- ISSN
- 0894-587X (ISSN-L)
- 1573-3289
- PMC
- PMC4331266
- OpenAlex
- W1964675194
- Cited by
- 7
- References
- 2
- Citations by year
- 2025: 1 · 2021: 2 · 2019: 2 · 2017: 1 · 2015: 1
- FWCI
- 1.21
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Licence
- www.springer.com/tdm (tdm)
- Locations
- Administration and Policy in Mental Health and Mental Health Services Research (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institute on Drug Abuse (T32DA007313)
- Topics
- Social Sciences › Sociology and Political Science › Homelessness and Social Issues
- Health Sciences › Health Professions › General Health Professions › Health Policy Implementation Science
- Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
- Keywords
- motivational interviewing, permanent supportive housing, organizational culture
- MeSH terms
- Attitude of Health Personnel, Ill-Housed Persons, Housing, Humans, Social Work, Organizational Culture, Substance-Related Disorders, Qualitative Research, Motivational Interviewing, Grounded Theory
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