000			02012 am a22002173u 4500
042			_adc
100	1	0	_aPadgett, Deborah _eauthor _9856
700	1	0	_aGurdak, Kristen _eauthor _9857
700	1	0	_aBond, Lynden _eauthor _9858
245	0	0	_aThe "high cost of low living": Substance use recovery among older formerly homeless adults
260			_c2022.
500			_a/pmc/articles/PMC7483938/
500			_a/pubmed/32150526
520			_aBACKGROUND: The population of older homeless substance-using adults is growing considerably, and we sought to understand how such individuals gain control of problematic substance use amidst other life problems. METHODS: Data were collected in a NIMH-funded study in which four in-depth interviews were conducted over 18 months with formerly homeless adults living in permanent supportive housing. The study subsample was comprised of 15 predominantly African American individuals over age 45 who were in recovery for at least six months. Cross-case analyses used a template approach followed by inductive sub-theme analyses. RESULTS: Three themes drawn from the literature yielded seven sub-themes as follows. Theme #1: Acute life stressors: a) 'substance use as primary'; b) 'acute life events and substance use'; c) 'incarceration as turning point)'. Theme #2: Attributions of recovery: a) 'quitting as personal decision'; b) 'I just got to stay on top of it'; Theme #3: Social relationships: a) 'I have associates, not friends'; b) 'taking a cautious approach'. CONCLUSION: Participants viewed substance use as the primary problem in their lives despite other adversity. Recovery was viewed as a personal decision, but maintaining recovery involved positive social relationships. Policies and practices related to recovery should address the complexities of lives-as-lived.
540			_a
546			_aen
690			_aArticle
655	7		_aText _2local
786	0		_nSubst Abus
856	4	1	_uhttp://dx.doi.org/10.1080/08897077.2020.1734713 _zConnect to this object online.
999			_c235 _d235