Monique Lhussier
Biographic Data
| ID | 114274 |
|---|---|
| NAME | Monique Lhussier |
| GIVEN NAMES | Monique |
| FAMILY NAME | Lhussier |
| SIGNATURE | LHUSSIER M |
| AFFILIATIONS | Northumbria University |
| ORCID | 0000-0001-9383-2356 |
| VERIFIED | Yes |
| TOTAL WORKS | 26 |
| TOTAL CITATIONS | 21 |
| WORKS AS AUTHOR | 26 |
| WORKS AS EDITOR | 0 |
| FIRST PUBLICATION YEAR | 2005 |
| LATEST PUBLICATION YEAR | 2026 |
| H-INDEX | 3 |
‘Do You Know what I Mean?’
People experiencing homelessness are commonly required to recount their life stories when accessing services. These biographies, often replete with trauma, disruption and the pains of survival, can be difficult to recount in linear narratives, which can engender feelings of epistemic injustice and self-stigmatisation, with assumptions of disbelief stemming from both the ‘unbelievability’ of the trauma and they ways in which the stories are told. …
‘ Like having 16000 tabs open in my head ’ – unravelling the complexity of safeguarding adults at risk of exploitation
There is a systematic invisibility of adult exploitation, particularly for those with additional vulnerabilities, in social work practice and systems. This research highlights the conditions necessary to reduce risk for adults who are exploited. Using a realist logic of analysis, we undertook 60 interviews with service users, professionals and policy makers involved in adult safeguarding. These included social care, housing, public health, health…
Seen and Heard
Women Who Use Drugs (WWUD) are amongst the most stigmatised groups in society and are subject to stigma as they engage with services and within their own recovery communities. WWUD who are also mothers have been found to experience increased stigma and disproportionate surveillance by professionals when accessing services, leading to a constant fear of child removal and apprehension to accessing, engaging and seeking support. In this study, we re…
Community Asset Mapping
People Who Use Substances (PWUS) are among the most stigmatised groups in society. Stigma associated with substance use is known to be detrimental to the individual's wellbeing, and substance use is often used as a mechanism by policy makers and services to legitimise exclusion. PWUS often do not benefit from the drug and alcohol services that are available to them. Community Asset Mapping (CAM) is a strengths-based approach involving the re-enga…
Adolescent health
If You don’t say It, It doesn’t Exist
Equitable research practices with marginalised populations aim to centre participants voices and address inherent power imbalances. Timelines are one example of a visual method which can be used to support qualitative research, though its potential to enhance the quality of data collection has rarely been fully explored. Women with experiences of multiple exclusion homelessness are often missing from research and policy, and their experiences fra…
Stigma and the Inverse Care Law
This paper explores the connection between stigma and the Inverse Care Law (ICL) by focussing on the idea that people who have the greatest needs often have the least support from healthcare services. Twenty-four semi-structured interviews were undertaken with people who used class A & B illicit drugs, in the northeast of England. Many of the people in this study who used illicit drugs were not able to access quality healthcare in a timely way to…
British South Asian and Muslim Community’s Perceptions and Experiences of Addiction and Traditional Drug and Alcohol Treatment Services
Within traditional drug and alcohol (D&A) treatment services, the majority of those accessing support are of white ethnicity, with only a small percentage of people from the British South Asian (BSA) and Muslim community engaging in treatment services. This paper aims to explore perceived barriers to accessing traditional D&A services within the British South Asian and Muslim communities, based on qualitative data from interviews with family memb…
The book’s a conversation starter’
Reading for Wellbeing (RfW) is a pilot initiative, aimed at improving mental health and well-being through supporting access and increasing opportunities to read for pleasure. RfW was implemented across six North-East local authorities in England and employed Community Reading Workers to support access to books and reading for targeted populations. The current study used realist methodology to understand context, potential mechanisms of action, a…
Does better than expected life expectancy in areas of disadvantage indicate health resilience? Stakeholder perspectives and possible explanations
Some places have better than expected health trends despite being disadvantaged in other ways. Thematic analysis of qualitative data from stakeholders (N = 25) in two case studies of disadvantaged local authorities the North West and South East of England assessed explanations for the localities' apparent health resilience. Participants identified ways of working that might contribute to improved life expectancy, such as partnering with third sec…
Assessment and Qualitative Comparative Analysis of English Local Authority Joint Health and Wellbeing Strategies to Improve Health under Austerity Conditions, 2013–2017
Background . Local government is important for health equity because local policies often affect place‐based health, health equity, and their wider social determinants of health. In England, local governments must produce Joint Health and Wellbeing (JH&W) Strategies, outlining local strategies for health improvement. These strategies have been produced concurrently with budget cuts to local governments that are associated with adverse health and …
Relational stigma as a social determinant of health
The aim of the paper is to understand how people who use drugs (PWUD) experience stigma. To examine this issue, this paper draws on Bourdieu's logic of practice to understand how social harm emerges relationally between people via ‘mechanisms of stigma’. This paper draws on 24 qualitative semi-structured interviews with people who use drugs (heroin, crack/cocaine, amphetamine, ecstasy; 11 men/12 women/1 transgender) living in the northeast of Eng…
They Tarred Me with the Same Brush”
Child removals are increasing in England and Wales. Family court involvement is particularly common among women with multiple disadvantages, and the rates are higher in economically marginalised areas. This article aims to explore women's narratives of child removal within life stories of homelessness and examines how stigma, power and State surveillance manifest in their experiences. Data drawn from qualitative interviews with 14 mothers in the …
Social capital and women’s narratives of homelessness and multiple exclusion in northern England
Women experiencing three or more co-occurring issues (homelessness, substance misuse, mental health) are a highly vulnerable population associated with multimorbidity. Taking women's life stories of trajectories into social exclusion in the north of England as its focus, this paper aims to explore the complexity of social contexts in which women navigate extreme health inequalities. Of the few studies that have examined women's experiences of hom…
Opening Up the Unfamiliar and Enabling New Pathways for Movement and Becoming
The philosophy of Deleuze and Guattari opens up vast potential to disrupt and explore some of the confines of attachment theory when considering the development of enchantment, wishful, and magical thinking in childhood. Through connection with the use of the fairy tale, we seek to illuminate and illustrate the lines of flight, which activate resistance against the universalism of attachment theory and linear process of child development. In usin…
The impact of precarious employment on the health and wellbeing of UK immigrants
This article synthesises evidence on the experiences of immigrants in the United Kingdom who are engaged in precarious employment and explores the effects of precarious employment on their health and wellbeing. This study reveals that migrants in precarious employment often experience negative health outcomes including injury, anxiety and depression. Stress response theories and risk factors associated with occupational injury help explain how em…
Using computer assisted qualitative data analysis software (Caqdas; NVivo) to assist in the complex process of realist theory generation, refinement and testing
There have been several calls for more transparency in realist methods, particularly in the complex process of programme theory development and refinement. This paper will describe the way in which Computer Assisted Qualitative Data Analysis Software, specifically, NUD*IST Vivo (NVivo), was used to build and refine programme theories (using literature and interview data) in a realist evaluation. This article presents the evolving and complex proc…
Care Planning
Care planning has been described as a “better conversation” that helps people with long-term conditions to be in control of planning their care. Each person with long-term conditions faces individual challenges and each health care setting is fundamentally different, so there is a need for empirical testing of the specific mechanisms through which care planning may lead to health improvements. A rapid realist review was conducted to unearth under…
Exploring the use of Soft Systems Methodology with realist approaches
As the use of realist approaches gains momentum, there is a growing interest in how systems approaches can complement realist thinking. In this article, we discuss how the epistemology of Soft Systems Methodology is compatible with realist approaches. Both Soft Systems Methodology and realist approaches emphasize the necessity to engage stakeholders; through models, the description of contingencies and exploring the intricacies of how complex pro…
Exposing the impact of intensive advice services on health
Attention has turned to welfare advice as a potential health and social care intervention. However, establishing direct evidence of health impact has proven difficult. This is compounded by the need to understand both the facilitative contexts and mechanisms through which this impact occurs. This study investigated if, how and in which circumstances an intensive advice service had an impact on stress and well-being (as precursors to health impact…
Understanding communication pathways to foster community engagement for health improvement in North West Pakistan
The major lines of communication and influence in the local community described are placed within the wider literature on community engagement in health improvement. The process of maximisation of local cultural knowledge as part of a community engagement effort is one that has application well beyond the particular setting of this study
Care planning for long‐term conditions – a concept mapping
Development and implementation of a nutrition intervention programme in North West Pakistan
Maternal and infant malnutrition is prevalent in rural regions of NW Pakistan. This article reports on the use of a combination of a realist Context-Mechanism-Outcome framework and participatory appraisal methods to facilitate the development of a locally sensitive and responsive nutritional intervention programme. Data were gathered through a series of focus group (FG) discussions with local lady health workers, as well as pregnant and breastfee…
Empowerment evaluation applied to public health practice
This paper describes the details of a strategy developed to evaluate intervention outcomes of a number of community-based programmes. The rationale for the development of the strategy and its reception into practice is also described. This paper contributes to the debate about qualities and characteristics of appropriate evidence for health promotion by detailing the package of tools developed. These drew on health impact assessment, theories of …
Health-related lifestyle advice
This article situates itself within contemporary public health workforce development issues and provides critical insights into the newly developed roles of health trainers and the wider practice of health-related lifestyle advice. It highlights a number of contradictions and paradoxes in relation to health-related lifestyle advice, in terms of the organisation of the public body in intervention targets, in terms of choice and risk, of the power …
Using computer assisted qualitative data analysis software (Caqdas; NVivo) to assist in the complex process of realist theory generation, refinement and testing
There have been several calls for more transparency in realist methods, particularly in the complex process of programme theory development and refinement. This paper will describe the way in which Computer Assisted Qualitative Data Analysis Software, specifically, NUD*IST Vivo (NVivo), was used to build and refine programme theories (using literature and interview data) in a realist evaluation. This article presents the evolving and complex proc…
Paradoxes, locations and the need for social coherence
Policy rhetoric over recent decades has promoted social inclusion of the more vulnerable sectors of society, such as people with learning difficulties. This study aimed to describe the experiences of people who live with learning difficulties in order to inform local service development. Thirty‐five people with a learning difficulty and/or a family member were interviewed. A model of social coherence was developed that moves beyond the self‐limit…
Exploring the use of Soft Systems Methodology with realist approaches
As the use of realist approaches gains momentum, there is a growing interest in how systems approaches can complement realist thinking. In this article, we discuss how the epistemology of Soft Systems Methodology is compatible with realist approaches. Both Soft Systems Methodology and realist approaches emphasize the necessity to engage stakeholders; through models, the description of contingencies and exploring the intricacies of how complex pro…
Exposing the impact of intensive advice services on health
Attention has turned to welfare advice as a potential health and social care intervention. However, establishing direct evidence of health impact has proven difficult. This is compounded by the need to understand both the facilitative contexts and mechanisms through which this impact occurs. This study investigated if, how and in which circumstances an intensive advice service had an impact on stress and well-being (as precursors to health impact…
Stigma and the Inverse Care Law
This paper explores the connection between stigma and the Inverse Care Law (ICL) by focussing on the idea that people who have the greatest needs often have the least support from healthcare services. Twenty-four semi-structured interviews were undertaken with people who used class A & B illicit drugs, in the northeast of England. Many of the people in this study who used illicit drugs were not able to access quality healthcare in a timely way to…
Does better than expected life expectancy in areas of disadvantage indicate health resilience? Stakeholder perspectives and possible explanations
Some places have better than expected health trends despite being disadvantaged in other ways. Thematic analysis of qualitative data from stakeholders (N = 25) in two case studies of disadvantaged local authorities the North West and South East of England assessed explanations for the localities' apparent health resilience. Participants identified ways of working that might contribute to improved life expectancy, such as partnering with third sec…
Paradoxes, locations and the need for social coherence
Policy rhetoric over recent decades has promoted social inclusion of the more vulnerable sectors of society, such as people with learning difficulties. This study aimed to describe the experiences of people who live with learning difficulties in order to inform local service development. Thirty‐five people with a learning difficulty and/or a family member were interviewed. A model of social coherence was developed that moves beyond the self‐limit…
Empowerment evaluation applied to public health practice
This paper describes the details of a strategy developed to evaluate intervention outcomes of a number of community-based programmes. The rationale for the development of the strategy and its reception into practice is also described. This paper contributes to the debate about qualities and characteristics of appropriate evidence for health promotion by detailing the package of tools developed. These drew on health impact assessment, theories of …
Health-related lifestyle advice
This article situates itself within contemporary public health workforce development issues and provides critical insights into the newly developed roles of health trainers and the wider practice of health-related lifestyle advice. It highlights a number of contradictions and paradoxes in relation to health-related lifestyle advice, in terms of the organisation of the public body in intervention targets, in terms of choice and risk, of the power …
Development and implementation of a nutrition intervention programme in North West Pakistan
Maternal and infant malnutrition is prevalent in rural regions of NW Pakistan. This article reports on the use of a combination of a realist Context-Mechanism-Outcome framework and participatory appraisal methods to facilitate the development of a locally sensitive and responsive nutritional intervention programme. Data were gathered through a series of focus group (FG) discussions with local lady health workers, as well as pregnant and breastfee…
Care planning for long‐term conditions – a concept mapping
Understanding communication pathways to foster community engagement for health improvement in North West Pakistan
The major lines of communication and influence in the local community described are placed within the wider literature on community engagement in health improvement. The process of maximisation of local cultural knowledge as part of a community engagement effort is one that has application well beyond the particular setting of this study
Care Planning
Care planning has been described as a “better conversation” that helps people with long-term conditions to be in control of planning their care. Each person with long-term conditions faces individual challenges and each health care setting is fundamentally different, so there is a need for empirical testing of the specific mechanisms through which care planning may lead to health improvements. A rapid realist review was conducted to unearth under…
Exploring the use of Soft Systems Methodology with realist approaches
As the use of realist approaches gains momentum, there is a growing interest in how systems approaches can complement realist thinking. In this article, we discuss how the epistemology of Soft Systems Methodology is compatible with realist approaches. Both Soft Systems Methodology and realist approaches emphasize the necessity to engage stakeholders; through models, the description of contingencies and exploring the intricacies of how complex pro…
Exposing the impact of intensive advice services on health
Attention has turned to welfare advice as a potential health and social care intervention. However, establishing direct evidence of health impact has proven difficult. This is compounded by the need to understand both the facilitative contexts and mechanisms through which this impact occurs. This study investigated if, how and in which circumstances an intensive advice service had an impact on stress and well-being (as precursors to health impact…
Opening Up the Unfamiliar and Enabling New Pathways for Movement and Becoming
The philosophy of Deleuze and Guattari opens up vast potential to disrupt and explore some of the confines of attachment theory when considering the development of enchantment, wishful, and magical thinking in childhood. Through connection with the use of the fairy tale, we seek to illuminate and illustrate the lines of flight, which activate resistance against the universalism of attachment theory and linear process of child development. In usin…
The impact of precarious employment on the health and wellbeing of UK immigrants
This article synthesises evidence on the experiences of immigrants in the United Kingdom who are engaged in precarious employment and explores the effects of precarious employment on their health and wellbeing. This study reveals that migrants in precarious employment often experience negative health outcomes including injury, anxiety and depression. Stress response theories and risk factors associated with occupational injury help explain how em…
Using computer assisted qualitative data analysis software (Caqdas; NVivo) to assist in the complex process of realist theory generation, refinement and testing
There have been several calls for more transparency in realist methods, particularly in the complex process of programme theory development and refinement. This paper will describe the way in which Computer Assisted Qualitative Data Analysis Software, specifically, NUD*IST Vivo (NVivo), was used to build and refine programme theories (using literature and interview data) in a realist evaluation. This article presents the evolving and complex proc…
Relational stigma as a social determinant of health
The aim of the paper is to understand how people who use drugs (PWUD) experience stigma. To examine this issue, this paper draws on Bourdieu's logic of practice to understand how social harm emerges relationally between people via ‘mechanisms of stigma’. This paper draws on 24 qualitative semi-structured interviews with people who use drugs (heroin, crack/cocaine, amphetamine, ecstasy; 11 men/12 women/1 transgender) living in the northeast of Eng…
They Tarred Me with the Same Brush”
Child removals are increasing in England and Wales. Family court involvement is particularly common among women with multiple disadvantages, and the rates are higher in economically marginalised areas. This article aims to explore women's narratives of child removal within life stories of homelessness and examines how stigma, power and State surveillance manifest in their experiences. Data drawn from qualitative interviews with 14 mothers in the …
Social capital and women’s narratives of homelessness and multiple exclusion in northern England
Women experiencing three or more co-occurring issues (homelessness, substance misuse, mental health) are a highly vulnerable population associated with multimorbidity. Taking women's life stories of trajectories into social exclusion in the north of England as its focus, this paper aims to explore the complexity of social contexts in which women navigate extreme health inequalities. Of the few studies that have examined women's experiences of hom…
British South Asian and Muslim Community’s Perceptions and Experiences of Addiction and Traditional Drug and Alcohol Treatment Services
Within traditional drug and alcohol (D&A) treatment services, the majority of those accessing support are of white ethnicity, with only a small percentage of people from the British South Asian (BSA) and Muslim community engaging in treatment services. This paper aims to explore perceived barriers to accessing traditional D&A services within the British South Asian and Muslim communities, based on qualitative data from interviews with family memb…
The book’s a conversation starter’
Reading for Wellbeing (RfW) is a pilot initiative, aimed at improving mental health and well-being through supporting access and increasing opportunities to read for pleasure. RfW was implemented across six North-East local authorities in England and employed Community Reading Workers to support access to books and reading for targeted populations. The current study used realist methodology to understand context, potential mechanisms of action, a…
Does better than expected life expectancy in areas of disadvantage indicate health resilience? Stakeholder perspectives and possible explanations
Some places have better than expected health trends despite being disadvantaged in other ways. Thematic analysis of qualitative data from stakeholders (N = 25) in two case studies of disadvantaged local authorities the North West and South East of England assessed explanations for the localities' apparent health resilience. Participants identified ways of working that might contribute to improved life expectancy, such as partnering with third sec…
Assessment and Qualitative Comparative Analysis of English Local Authority Joint Health and Wellbeing Strategies to Improve Health under Austerity Conditions, 2013–2017
Background . Local government is important for health equity because local policies often affect place‐based health, health equity, and their wider social determinants of health. In England, local governments must produce Joint Health and Wellbeing (JH&W) Strategies, outlining local strategies for health improvement. These strategies have been produced concurrently with budget cuts to local governments that are associated with adverse health and …
Seen and Heard
Women Who Use Drugs (WWUD) are amongst the most stigmatised groups in society and are subject to stigma as they engage with services and within their own recovery communities. WWUD who are also mothers have been found to experience increased stigma and disproportionate surveillance by professionals when accessing services, leading to a constant fear of child removal and apprehension to accessing, engaging and seeking support. In this study, we re…
Community Asset Mapping
People Who Use Substances (PWUS) are among the most stigmatised groups in society. Stigma associated with substance use is known to be detrimental to the individual's wellbeing, and substance use is often used as a mechanism by policy makers and services to legitimise exclusion. PWUS often do not benefit from the drug and alcohol services that are available to them. Community Asset Mapping (CAM) is a strengths-based approach involving the re-enga…
Adolescent health
If You don’t say It, It doesn’t Exist
Equitable research practices with marginalised populations aim to centre participants voices and address inherent power imbalances. Timelines are one example of a visual method which can be used to support qualitative research, though its potential to enhance the quality of data collection has rarely been fully explored. Women with experiences of multiple exclusion homelessness are often missing from research and policy, and their experiences fra…
Stigma and the Inverse Care Law
This paper explores the connection between stigma and the Inverse Care Law (ICL) by focussing on the idea that people who have the greatest needs often have the least support from healthcare services. Twenty-four semi-structured interviews were undertaken with people who used class A & B illicit drugs, in the northeast of England. Many of the people in this study who used illicit drugs were not able to access quality healthcare in a timely way to…
‘Do You Know what I Mean?’
People experiencing homelessness are commonly required to recount their life stories when accessing services. These biographies, often replete with trauma, disruption and the pains of survival, can be difficult to recount in linear narratives, which can engender feelings of epistemic injustice and self-stigmatisation, with assumptions of disbelief stemming from both the ‘unbelievability’ of the trauma and they ways in which the stories are told. …
Sociology (17 works) · Political science (13 works) · Psychology (13 works) · Medicine (10 works) · Qualitative research (9 works) · Social science (8 works) · Nursing (7 works) · Psychiatry (6 works) · Public relations (6 works) · Computer Science (5 works)