Housing first for homeless persons with active addiction: are we overreaching?
Housing first for homeless persons with active addiction: are we overreaching?
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DOI：
10.1111/j.1468-0009.2009.00565.x
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发表时间：
2009-06
期刊：
影响因子：
--
通讯作者：
Schumacher JE
中科院分区：
文献类型：
--
作者：
Kertesz SG;Crouch K;Milby JB;Cusimano RE;Schumacher JE
美国有350多个社区已致力于解决长期无家可归问题。一种在全国具有显著影响力的方法——“住房优先”，为人们提供尽早获得永久性住房的机会，且不要求完成治疗，对于有药物成瘾问题的服务对象，也不要求提供戒酒或戒毒的证明。
本文回顾了对“住房优先”以及更传统的康复性（例如“线性”）恢复干预措施的研究，重点关注这两种方法对有成瘾性障碍的无家可归者所取得的效果。
根据对比较试验和病例系列报告的综述，“住房优先”的报告显示出良好的住房保有率，尽管涉及有严重药物成瘾问题的无家可归服务对象的数据有限。一些线性项目提到成瘾严重程度有所降低，但在长期住房保障及保有方面存在不足。
本文认为，目前的研究数据不足以确定针对一个重要的无家可归亚群体的最佳住房和康复方法。关于“住房优先”和线性方法的研究可以通过多种方式得到加强，并且政策制定者在将现有的“住房优先”研究结果推广到有药物成瘾问题且进入住房项目的人群时应谨慎。
More than 350 communities in the United States have committed to ending chronic homelessness. One nationally prominent approach, Housing First, offers early access to permanent housing without requiring completion of treatment or, for clients with addiction, proof of sobriety. This article reviews studies of Housing First and more traditional rehabilitative (e.g., “linear”) recovery interventions, focusing on the outcomes obtained by both approaches for homeless individuals with addictive disorders. According to reviews of comparative trials and case series reports, Housing First reports document excellent housing retention, despite the limited amount of data pertaining to homeless clients with active and severe addiction. Several linear programs cite reductions in addiction severity but have shortcomings in long-term housing success and retention. This article suggests that the current research data are not sufficient to identify an optimal housing and rehabilitation approach for an important homeless subgroup. The research regarding Housing First and linear approaches can be strengthened in several ways, and policymakers should be cautious about generalizing the results of available Housing First studies to persons with active addiction when they enter housing programs.
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影响因子：
120.7
作者：
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影响因子：
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