1/10/2024 0 Comments Open document maxqda not working![]() This paper explores the qualitative dimensions of stigma related to substance use for a sample of women experiencing homelessness in Brisbane, Australia. Interventions with substance users with lived experience of homelessness would benefit from taking a social identity approach that incorporates an understanding of the material/embodied aspects of addiction to provide a holistic model of care that best supports the relational needs of the client. The impacts of substance use on social networks were similar for currently and formerly homeless participants, suggesting transitioning into housing may not immediately prompt a reduction in substance use or influence from substance‐using peers. Participants chose to engage and not engage with others to craft a social identity they valued, which had the sometimes‐negative side‐effect of limiting potential relationships, leaving users feeling isolated from their non‐users and a continued imperative to keep using. To participants, being a substance “user,” or “non‐user,” was a social identity that they actively negotiated to facilitate competing social, psychological and material/embodied needs. Findings showed substance use both socially connected and disconnected participants, and that attempting abstinence required participants to negotiate and alter their social networks. Recruiting across services catering to marginalised populations, 110 participants completed a cross‐sectional survey. A mixed‐methods design was used to explore this question and assess the experiences of people who have exited homelessness. This study uses a relational and critical realist approach to understand the role of substance use on the social lives of people with lived experience of homelessness. Substance use is prevalent amongst Australians who have experienced homelessness, but the social impacts of using substances amongst this group are poorly understood.
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