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ABSTRACT
People who are homeless tend to have a number of complex needs. A housing maintenance support program (MSP) for women from the perspectives of clients, case managers and health professionals within the program was explored in this qualitative descriptive study. Interviews were conducted, and data were analysed using thematic analysis. The overarching theme that emerged from the data was “A life-changing event: I have the power to change.” This theme was supported by three sub-themes: personal, situational and societal dimensions. In this article, the sub-theme – situational factors, is presented and refers to poverty, resources and services, as well as social support systems. These aspects all impinged on the client's ability to face life changes with optimism towards a better future. Their experiences of disconnection with the community changed for the clients after being part of the MSP. The MSP enabled the clients to feel part of society again, and empowered them to participate in the world around them. Key aspects of inclusion in the world are relationships based on acceptance, connecting with others, being involved and creating a sense of home/community.
Acknowledgments
Dr Rhonda Hawley and Professor Sandy Middleton for their earlier supervision and support of this work.
Conflict of interest
The authors report no conflicts of interest.
Author contributions
All authors have agreed on the final version and meet at least one of the following criteria as recommended by the ICMJE (http://www.icmje.org/recommendations/)]: have made substantial contributions to conception and design, acquisition of data or analysis and interpretation of data, drafting the article or revising it critically for important intellectual content.