Professional Documents
Culture Documents
Deflection of Eviction Stigma by Community Care Providers
Deflection of Eviction Stigma by Community Care Providers
Direct all correspondence to Garrett L. Grainger at 8128 William H. Sewell Social Sciences Building,
1180 Observatory Dr. Madison, WI 53706-1393. e-mail: ggrainger@wisc.edu.
faculties of the insane (Rothman 1971). This treatment paradigm prescribed seclu-
sion to a structured, well-resourced, familial-like environment where patients were
assigned communal roles and subjected to minimal physical restraints. In contrast
to the poorhouse, reformers designed the asylum as a refuge where patients could
recover their mental faculties before reintegrating into society. Reformers success-
fully grew asylums across America in the early 1800s (Grob 1972).
The function of asylums shifted from treatment to custodialism in the mid-
nineteenth century (Rothman 1971). This transition reflected several factors. First,
psychiatrists used bourgeois culture to differentiate the sane from insane. As a result,
asylums functioned as informal political prisons where threats to modern society
were disappeared under the guise of medicine (Metzl 2010). Second, eugenics
inspired psychiatrists to reconceptualize madness as an immutable genetic defect
that disqualified patients from citizenship (Snyder and Mitchell 2010). Finally, moral
treatment proved ineffective at curing insanity. Failure to cure patients coupled
with the stigmatized patient population discouraged lawmakers from financing
therapeutic interventions (Grob 1972). As a result, the asylum was transformed
into a custodial institution that warehoused marginalized groups in overcrowded,
understaffed public facilities (Deutsch 1948).
The Second World War facilitated the deinstitutionalization of mental patients
from asylums (Grob 1991). The U.S. Department of Defense hired psychiatrists to
treat distressed soldiers in European battlefields. Psychiatrists observed the impact of
environmental stress on mental health and developed ad hoc strategies to treat men-
tal illness in situ. Wartime experience expanded the definition of madness to include
minor conditions, challenged established orthodoxy that madness is an immutable
condition requiring long-term custodial care, and empowered psychiatrists to inform
public policymaking in the post-war era. Novel pharmaceutical therapies demon-
strated positive outcomes that rendered asylums obsolete. Psychotropic drugs pro-
vided inexpensive treatment that allowed mental patients to live in their community.
Psychiatrists cited these advantages to promote deinstitutionalization.
Antipsychiatrists echoed demand for deinstitutionalization. Academics through-
out the West contested the treatment of mental patients in asylums (Foucault 1967;
Goffman 1961). Ex-patients appropriated civil rights discourse to contest psychiatric
abuse (Crossley 2006). Activism paid off. The federal government passed the Com-
munity Mental Health Act of 1963 to fund research, provide training, and establish
community mental health centers that delivered care to patients outside the asy-
lum (Grob 1991). In combination with Social Security, Medicare, and Medicaid, the
Community Mental Health Act motivated closefisted state and local governments
to release mental patients from asylums en mass. Community mental health centers
became the primary source of mental health assistance while hospitalization stabi-
lized patients only under extreme circumstances (Levine 1981).
Community care must be delivered somewhere. Asylums provided mental patients
public housing (Grob 1972). The transition from asylums to community care presup-
posed a robust social safety net that ex-patients could use to access units in rental
4 Symbolic Interaction 2020
(Sibitz et al. 2011); however, the ability to resist stigma varies by social location
(Campellone, Caponigro, and Kring 2014). Thus, ego resistance is a stratified
capacity that marginalized people are less able to effectively perform.
In contrast, proxy resistance is deflection or challenging of stigma by the alter of
a marginalized person. Our knowledge of proxy resistance is limited by the satura-
tion of research on welfare stigmatization by social service providers (Gruys 2019;
Jordan 2018; Morris et al. 2018; Taylor, Samblanet, and Seale 2011). I only iden-
tified one study whose respondents deflected welfare stigma by attributing client
failures to “clueless” politicians (Seale, Buck, and Parrotta 2012). Sociologists have
similarly devoted scant attention to stigma resistance by mental health professionals.
Past sociological research has focused on the imposition and/or impact of psychi-
atric stigma on patients by mental health providers (Goffman 1961; Link, Phelan,
and Sullivan 2017; Scheff 1966). Although medical researchers have examined the
impact of therapies to minimize self-stigma in mental patients (see review in Mittal
et al. 2012), sociologists have largely neglected stigma management and resistance
by mental health providers. Dobransky (2019) is an exception that demonstrates
mental health professionals manage psychiatric stigma for clients in everyday life.
Dobransky explains tactical selection as a function of illness severity, organizational
factors, client preferences, and the mental health system; however, that author does
not examine the impact of institutional constraints exogenous to client–provider
relationship on tactical selection. Moreover, Dobransky offers limited insight into
the resources mental health professionals provide to clients to manage stigma.
I address these limitations by answering the following question: In the context
of a tight, hypersegregated rental market where housing assistance is scarcely
available, how do community care providers resist eviction stigma while negotiating
leases for clients? I argue the structural context of lease negotiations—organization
of local housing markets, federal welfare retrenchment, and electronic public
records—facilitates reliance on proxy deflection by making case managers depen-
dent on a subset of landlords and eliminating their capacity to hide past evictions.
Moreover, landlords differentiate applicants as leasable or unleasable based on their
screening criteria. Eviction is an important factor that influences how landlords
categorize applicants. Case managers anticipate this logic by choosing proxy deflec-
tion tactics—redemption, externalization, and paternalism—that accommodate
case-specific facts. To this end, case managers provide clients resources that advance
their lease application by resisting eviction stigma.
who are experiencing homelessness. In addition, several case managers also func-
tioned as long-term case managers for the county. I introduced myself to the group,
described my project, and observed meetings for approximately eight months before
requesting one-on-one interviews. After conducting the initial round of interviews, I
requested referrals from program coordinators, who I had met at the placement meet-
ing, to interview the case managers they supervised. All program supervisors intro-
duced me, either in-person or electronically, to team members from who I requested
participation. This snowball sampling method recruited thirty-four participants into
the study.
Second, I contacted the Springfield County Department of Health where I con-
nected with program supervisors who oversaw the three community care programs.
After introducing the project, I asked to make short presentations to program
coordinators from local community care providers before their weekly staff meeting.
Each program supervisor agreed. During those presentations, I received contact
information from each program coordinator who connected me with their team
members. I was able to recruit case managers from six out of fifteen local agencies
providing community care. From these contacts, I recruited participation from
forty-three case managers. Thirty three of these case managers participated in five
focus groups that ranged between three and ten participants while the remaining
ten participated in either one-on-one or two-on-one interviews. In total, this study
included seventy-seven community care providers.
Third, I recruited twenty-six landlords into my study by using two methods. First,
I introduced myself to the President of Springfield County’s Apartments Associa-
tion to schedule a presentation during their monthly meeting. During that presen-
tation, I introduced audience members to my project, promised $20 to compensate
participation, distributed my contact information, and welcomed members to join the
study. Second, I used snowball sampling to recruit landlord participation. I requested
e-introductions from case managers who participated in the study. This enabled me
to access landlords who directly rented to community care recipients. I also requested
e-introductions from landlords who participated in the study (Table 1).
A substantial proportion of the case manager sample is young (44.2%) to
middle-aged adults (44.2%). An overwhelming proportion of this sample is female
(81.8%). Whites constituted the largest proportion of the sample (74.0%) with black
respondents (19.5%) constituting the second largest proportion. Participants with a
bachelor’s degree constituted 35.1% of the sample while those with master’s degree
composed 54.5%. Finally, a broad range of experience is expressed in this sample
with 23.4% reporting one to five years in the field of social work, 29.9% reporting
six to ten years, 26.0% reporting eleven to fifteen years, and 19.5% reporting over
sixteen years.
I interviewed twenty-six local landlords and property managers. Whites con-
stituted the largest proportion of this same (80.7%) with black (11.5%), Hispanic
(3.8%), and Arab (3.8%) respondents composed the rest. The majority of this sample
was female (65.4%). Respondents varied between twenty-five and sixty-eight-year
Proxy Deflection of Eviction Stigma 9
Age cohort
Young adult (18–35) 34 44.2
Middle-adult (36–55) 34 44.2
Older-adult (56–99) 8 10.4
N/A 1 1.3
Gender
Female 63 81.8
Male 13 16.9
Non-binary 1 1.3
Race
Asian 1 1.3
Black 15 19.5
Brown 1 1.3
Hispanic 1 1.3
White 57 74.0
Other 1 1.3
N/A 1 1.3
Education level
High school degree 2 2.6
A.A or A.S. degree 6 7.8
Bachelor’s degree 27 35.1
Master’s degree 42 54.5
Employment history (in years)
1–5 18 23.4
6–10 23 29.9
11–15 20 26.0
16–20 7 9.1
21–25 7 9.1
26–99 2 1.3
old with fifty as the median age. Approximately 53.8% of landlord participants lived
in Springfield County while most others resided in the surrounding white suburbs.
Respondents varied between one and forty eight years of property management
experience with sixteen years as the median. Participants varied between 2 and
3500 units with 105 serving as the median.
I conducted in-depth interviews and focus groups with a recording device at loca-
tions selected by respondents. Each interview and focus group ranged thirty to ninety
minutes; however, most lasted approximately one hour. I created a semistructured
interview guide that was used for each interview and focus group to ensure compara-
ble responses. I encouraged all focus group members to participate by providing time
for each respondent to answer questions and requesting input from quiet attendees.
Once completed, audiorecordings were transcribed and analyzed using MAXQDA
software. I used coding methods derived from grounded theory to analyze the data
(Glaser and Strauss 1967). I initially open coded all data to identify emergent themes.
10 Symbolic Interaction 2020
attention to the judgment amount, because that’s a red flag. So, now, I pay atten-
tion to that judgment amount. Anything over $900, nuh-uh (sic). You’re not get-
ting in. You couldn’t pay your rent in two months? You going to stiff me too.
Amanda and Alicia interpreted the mark of eviction as an achieved stigma. From
their perspective, eviction implied a pattern of personal disorganization that under-
mined profit accumulation. Respondents, the majority of which rented to low-income
minority households, based this expectation on individual action rather than social
status.
Although eviction alarmed landlords, study participants exercised discretion
while evaluating applicants. Most respondents established strict time limits to
determine the leasability of an applicant with evictions on their record. Janet, a
fifty-nine-year-old white woman who owned 118 units, justified her three-year time
limit as an industry standard:
You cannot have been evicted from another apartment within three years. I only
chose that just knowing what other landlords do. It’s sort of a standard.
I want somebody that has been reestablished and has good income, has stuff mov-
ing forward. So, they’ve been able to put it behind them.
Although risk averse landlords, like Sally and Alicia, cited a five-year time limit,
most participants defined leasable applicants as having no evictions within the past
three years. From Janet and James’ perspective, three years provided applicants
enough time to sort out personal problems that caused the previous eviction.
Participants also evaluated the story applicants used to explain their eviction.
Failure to take responsibility for involuntary displacement suggested personal dis-
organization. Margaret was a sixty-two-year-old white woman who owned 112 units
in Springfield County. After thirty-two years of property management, Margaret
developed the following method to distinguish ephemeral from persistent causes of
eviction:
Anybody could have been evicted … If they were evicted because of something
that has since then changed and is not likely to happen again, that’s fine.
I lost my job. I gave birth to a sick kid. Something like that. If that landlord’s a
slumlord, no … Nobody should be evicted more than once, in my opinion. Why
did you rent from another slum landlord?
14 Symbolic Interaction 2020
Margaret identified facts she considered relevant to evictions. For her, an eviction
was problematic if it reflected a pattern of personal disorganization. If applicants
did not take personal responsibility for the incident, Margaret concluded they were
unleasable.
Finally, study participants often contacted landlord references to judge an eviction.
Carmella was a fifty-six-year-old white woman who owned 82 units in Springfield
County’s exclusive east side. To decipher a pattern of behavior, Carmella contacted
previous landlords:
I call the old residence who evicted them. I get contact and I learn the whole
story. What happened? How were their responses to you? Were they amenable?
Did they want to pay? Was there no communication? Did they attempt to pay
partially? How easy was it to deal with them? Or did they squat?
Respondents varied in the credibility that they afforded landlord claims about pre-
vious eviction. Mo, a forty-seven-year-old Arab American man who owned 100 units
in Springfield County, voiced skepticism about landlord explanations of eviction:
There’s obviously two sides of every eviction … Sometimes, you get certain land-
lords that just have a certain gripe … It could be personal … Landlord sometimes
may tell you that the tenant is great because they want to get them out.
Landlord references were a piece of data all participants cited while listing screen-
ing criteria. For Carmella, landlords shared her interests and provided an unbiased
account of an applicant’s eviction. Mo, on the other hand, perceived conflicts of
interest that made their interpretation suspicious. Renters with past evictions who
submitted an application to Mo, therefore, enjoyed better odds of leasing up.
In sum, study participants used screening criteria to differentiate leasable from
unleasable applicants. Interviewees indicated the mark of eviction is an achieved
rather than ascribed stigma that can be transcended through corrective action. Land-
lords exercised discretion while considering several factors to interpret an eviction.
Fine (1992) argues that actors confront an obdurate reality that limits their choices in
a given situation. In a private rental market, the cultural binary that landlords used to
select applicants is an obdurate reality that case managers confronted while negoti-
ating leases for community care recipients. The salience of landlord discretion meant
case managers could manipulate the labeling process that mediated lease attainment.
To this end, case managers strategically resisted eviction stigma to secure housing
for their clients. Case managers used proxy deflection to resist eviction stigma and
adapted their tactics to the unique characteristics of each client.
Proxy Deflection
Thoits (2011) differentiates two modes of stigma resistance: deflection and
challenging. The selection of stigma resistance by case managers was structurally
Proxy Deflection of Eviction Stigma 15
Rents are going up, SSI is not. It goes up like a dollar or two a year, but that doesn’t
keep up with rents and everything else.
Inadequate housing assistance prevented case managers, like Dee, from closing
the rent-income gap:
Affording somewhere nice is really hard. And to get into some of those other
programs to get reduced rent takes forever.
Electronic public records made case managers, like Becky, encourage clients to
disclose their rental history to prospective landlords:
It’s on [the public database]. They’re going to run your name. So, it’s best that you
just put that out there if you have an eviction right away.”
Economic constraints limited the units that clients could afford. Electronic public
records further narrowed the list of accessible units by eliminating property owners
with strict screening criteria.
The structural context of Springfield County’s housing market made case
managers dependent on a small pool of landlords. Economic dependency hin-
dered case managers from resisting eviction stigma by challenging the cultural
binary landlords used to select tenants. In response, case managers used proxy
deflection—redemption, externalization, and paternalism—to construct clients
as leasable during the application process. Proxy deflection was adapted to the
particular characteristics of each client. Respondents used redemption to resist
eviction stigma for clients who made demonstrable gains in self-sufficiency, external-
ization for clients whose eviction was attributable to ephemeral circumstances, and
paternalism for clients whose eviction could not be minimized through reference
to personal or situational change. In contrast to Dobransky (2019), case managers
could not manage stigma with secrecy because electronic public records allowed
landlords to fact-check lease applications. Moreover, market constraints prevented
case managers from challenging eviction stigma like Dobransky’s respondents
challenged psychiatric stigma.
Redemption
Past research suggests the orientation of social service providers to redemption
varies by context. Jordan (2018) observed case managers stigmatize workfare clients
as undeserving poor. The stigmatization of workfare recipients is intended to moti-
vate low-skilled workers back into the workforce where they redeem themselves
by submitting to labor exploitation (Peck 2001). Dobransky (2019), in contrast,
observed mental health professionals challenging stigma by changing the meanings
16 Symbolic Interaction 2020
I will be honest and up front with the landlord. “Like, they have an eviction on
their record. Will you even consider them? Like, it’s from 2015. They have an
eviction. They’ve paid it off.”
[Janice] basically wanted confirmation of his sobriety track. I said, “He is sober.”
And she said, “Yeah, but what does that mean? Two days? Three weeks? A year?
What is it?” He’s been sober for seven years. I got a letter from his sponsor. I got
attendance sheets … His sponsor got a letter from the person who runs that AA
chapter and they verified that this person is very consistent in their meetings and
has great success. I got a letter from the previous place that he had lived at that
basically said, “Oh no, his place was great. We gave him his deposit back.”
It’s a very difficult conversation because you’re wanting to be realistic, but also
client-centered and approaching it in a way that’s not disrespectful or hurtful to
them. It’s showing them, “This is kind of what you can rent right now.” Or encour-
aging them to rent somewhere they may not want to for the first year. And getting
that rental history started. And then maybe being open to moving somewhere else
after that.
Externalization
Next, past research suggests case managers vary by policy context according to
blame they attribute to clients. McGann, Nguyen, and Considine (2019) interviewed
case managers who attributed unemployment amongst workfare clients to individual
rather than structural causes. Internal attributions justified harsh treatment to push
clients into the workforce. Dobransky (2019), in contrast, shows mental health
professionals challenge stigma by encouraging clients to join groups that protest
marginalization. Advocacy groups, like the National Alliance on Mental Illness,
18 Symbolic Interaction 2020
Mm-hmm. When [her client] had this eviction … They didn’t have a connection
with services. And now they’re doing this. And they’re working on that.
We had a guy, he [had] a house with his wife. And they got divorced. They both
moved out. Nobody was paying the rent. His wife was supposed to be paying the
rent. She stopped paying the rent. They ended up getting evicted. So, it was a
matter of he wasn’t residing there anymore. It was a divorce situation. So, some-
times we’re able to work around, “It was a life circumstance. It’s not a pattern of
behavior.”
Recall Amanda’s previous statement where she expressed caution about evic-
tion as a potential sign of chronic personal disorganization. Samantha anticipated
this concern by externalizing eviction stigma to a divorce. This tactic countered the
presumption that Rob’s eviction reflected a pattern of behavior that rendered him
unleasable.
Above, Casey and Samantha used their knowledge of landlord screening prac-
tices to externalize eviction stigma for their clients. Familiarity with the worldview
and practices of local landlords enabled case managers to anticipate their reflected
appraisal, identify constraints imposed by their cultural binary, and craft narratives
Proxy Deflection of Eviction Stigma 19
Paternalism
Finally, if personal or situational changes could not be demonstrated, then case
managers cited their paternalistic role to present clients as leasable. Past research
indicates the exercise of paternalism varies by context. Dobransky (2019: 237)
described mental health professionals who used their paternalistic role to broker
workplace relations their clients. Participants in this study also brokered institutional
ties for clients; however, in addition to negotiating leases for clients, participants
cited their paternalistic obligations to deflect stigma by positioning themselves as a
landlord surrogate required to discipline clients into lease compliance. Paternalism
ironically presented a client as an unleasable applicant whose personal disorgani-
zation reflected psychiatric rather than moral deficiency that should not disqualify
them for a lease because symptoms were managed through clinical interventions.
In contrast, workfare providers, in Taylor, Turgeon, and Gross (2018), cited their
paternalistic role to claim occupational status.
Above, Amanda and Alicia problematized eviction as raising questions about rent
payment. Property owners relied on tenants to finance mortgages and generate profit.
Failure to pay rent, consequently, often resulted in eviction. If a service recipient got
evicted for nonpayment, then case managers, like Nina, cited their legal obligation
to manage their client’s finances:
Some of them are willing to be flexible if we are the payee because I’m able to
say, “Look, I’m legally required to pay rent. There’s no way he’s not going to have
rent paid.”
We are the payee in a lot of cases. So, we can guarantee rent from people. If the
landlord knows, “Oh, you have a payee, but you might have all these evictions
or have a poor rental history or … ” When we go in for somebody they say, “Oh,
you’re the payee? Cool, we accept them.” They don’t even care about evictions
in a sense.
Nina and Natalie deflected eviction stigma by citing their role as a representative
payee. A representative payee is assigned by the Social Security Administration to
control a recipient’s benefits if they are deemed incapable of managing personal
20 Symbolic Interaction 2020
Jennifer, Ashley, and James also cited this strategy in a separate focus group. Jen-
nifer explained:
“I think a lot of times, or sometimes, at least, they know that you’re going to be
there. And they have someone that’s … ” Ashley interrupted, “Checking in on
them,” before Jennifer continued, “Just, ‘Call the business line 24-hours a day.
There’s someone you can get a hold of.’ So, I think that’s a little bit helpful too,”
and James concluded, “What seals the deal is give them your cell number. ‘Here’s
my cell number. So, if anything happens.’”
Olivia, Jennifer, Ashley, and James deflected eviction stigma by citing their pro-
fessional obligation to monitor clients. By reiterating her responsibility to conduct
home visits throughout the lease, Olivia positioned herself as a landlord surrogate
required to maintain client leasability. Jennifer, Ashley, and James echoed this strat-
egy while providing their personal contact information to ensure twenty-four-hour
assistance.
Above, respondents demonstrated the use of paternalism to deflect eviction
stigma by constructing case managers as landlord surrogates who compensated for
their client’s psychiatric condition. Paternalism cited the professional role of case
managers as a resource to resist eviction stigma. Hence, in addition to knowledge
about local rental markets and social network connections, occupational status was
a resource proxy deflection gave clients to resist eviction stigma. Like Dobran-
sky (2019), case managers brokered institutional ties for their clients; however, in
contrast to Dobransky (2019), case managers explicitly cited their role to deflect
stigma for their clients.
CONCLUSION
The place of madness in America has vacillated throughout its short history
(Grob 1972, 1991). Asylums provided stable, although inadequate, public housing
Proxy Deflection of Eviction Stigma 21
for mental patients for nearly 100 years. Displacement of welfarism by neoliberalism
coincided with the deinstitutionalization of mental patients (Levine 1981). Roll-back
neoliberalism has forced community care providers to lease up clients in private
rental markets with limited public assistance (Peck and Tickell 2002). Macropolitical
economic restructuring has rendered community care recipients vulnerable to invol-
untary displacement (Tsai and Huang 2019). The mark of eviction is an achieved
stigma that community care providers must address while navigating the rental
market with their clients. Case managers, in this study, used proxy deflection to
mitigate perceptions of risk among prospective landlords. Proxy deflection allowed
case managers to resist eviction stigma with resources—institutional knowledge,
network ties, and occupational status—that advanced the leasing process for their
clients within market constraints imposed by neoliberalism.
This paper makes several contributions to the stigma literature. First, past research
on stigma has primarily focused on the experiences of social service recipients with
minor attention to service providers. Scholars have examined ways that marginal-
ized people experience and resist stigma levied by service providers. The few studies
that examine service providers have primarily analyzed the imposition of stigma on
clients (Colton et al. 1997; Goffman 1961; Jordan 2018; Scheff 1966). Little socio-
logical research has examined stigma resistance by case managers (Dobransky 2019;
Seale, Buck, and Parrotta 2012). This is a notable shortcoming because marginal-
ized people often lack resources to resist stigmatization. Social service providers
allocate economic, social, cultural, and human capital that enhances their client’s
capacity to resist stigma in various institutional contexts. This study demonstrates
that point while expanding our knowledge of tactics social service providers use to
resist stigma and providing new concepts—proxy resistance, proxy deflection, and
proxy challenging—to inform future research.
Second, this study incorporates data on institutional gatekeepers who use a
cultural binary to control access to an essential resource: housing. Past research has
often provided a unidimensional analysis that examines either the stigmatized or the
stigmatizer (Dobransky 2019; Lara-Millán and Van Cleve 2017). As a result, these
studies have assumed what needs to be demonstrated while excluding information
about the symbolic constraints social service providers encounter as they manage
stigma imposed on their clients. I extend this literature by adopting a methodol-
ogy that incorporates both perspectives—stigmatizer and stigma-broker—in the
analysis. Providing landlord perspectives detailed the symbolic constraints that case
managers strategically navigated while housing their clients, enhanced analysis by
specifying resources that case managers provided clients while exercising proxy
deflection, and advanced explanation of tactical selection by case managers during
the leasing process.
I close with suggestions for future research. This paper examined the perspectives
of institutional actors rather than service recipients. As a result, clients are implicitly
depicted as objects manipulated by the system. A couple study participants men-
tioned efforts to incorporate clients into leasing negotiations; however, I was unable
22 Symbolic Interaction 2020
to interview clients about their experiences of this process. How do community care
recipients interpret eviction stigma? How does they interpret proxy deflection by
their case managers? How do they contribute to proxy deflection of eviction stigma?
Moreover, this study does not examine proxy challenging of eviction stigma. Men-
tioned above, structural constraints rendered case managers dependent on proxy
deflection. How do case managers in different political economic contexts deflect
eviction stigma for clients? How does political economic context inform the usage of
deflection and challenging while housing community care recipients? Third, future
research could examine the various resources that service providers use to resist
stigma for their clients. Proxy resistance redistributes resources so stigmatized clients
can access essential goods/services; however, our knowledge of these resources is lim-
ited. What additional resources do case managers provide? How does these resources
vary across political economic contexts? How do service providers exercise discre-
tion while disseminating these resources? Finally, this study is limited by its reliance
on interview and focus group data. Participant observation would provide details that
my dataset lacks, proffer insight into the experiences of community care recipients,
and specify conditions under which resistance tactics are selected by case managers.
ACKNOWLEDGMENTS
I would like to thank the University of Wisconsin-Madison, Institute for Research on
Poverty, Mellon Foundation, Crowe Scholarship, and John Delamater for financially
supporting this research. In addition, I would like to thank Jane Collins, Pam Oliver,
and Kerem Morgül for providing helpful comments on early drafts of this paper.
ENDNOTES
1. Continuum of Care is the federal block grant funding the bulk of homeless services in America.
Service providers attending housing meetings are responsible for the connecting people with
mental illness who are experiencing homelessness to both county community care and housing.
In addition, I used the pseudonym “Springfield County” to mask the identity of county bureau-
crats.
2. The overlap reflects the fact that some agencies provide multiple tiers of community care housed
in separate departments.
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