Engagement and retention in services among formerly homeless adults with co-occurring mental illness and substance abuse: Voices from the margins
Engagement and retention in services among formerly homeless adults with co-occurring mental illness and substance abuse: Voices from the margins
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DOI：
10.2975/31.3.2008.226.233
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发表时间：
2008-12-01
影响因子：
1.9
通讯作者：
Davis, Andrew
中科院分区：
文献类型：
--
作者：
Padgett, Deborah K.;Henwood, Ben;Davis, Andrew
本定性研究分析了对39名曾经无家可归的精神病患者的72次访谈，以建立一个关于心理健康和药物滥用服务的参与和保留的基础理论模型。以人为中心的主题包括精神疾病的严重程度和药物滥用（后者也与计划性禁欲要求相冲突）。阻碍服务使用的系统相关主题包括项目规则和限制以及缺乏一对一治疗。那些促进服务使用的是工作人员的善意行为，宜人的环境，以及独立住房的承诺（或实现）。在整合消费者对服务的意见以提高治疗参与度和保留度方面，讨论了这些发现的含义。
This qualitative study analyzed 72 interviews with 39 formerly homeless psychiatric consumers to develop a grounded theory model of engagement and retention in mental health and substance abuse services. Person-centered themes included severity of mental illness and substance abuse (the latter also conflicting with programmatic abstinence requirements). System-related themes inhibiting service use included program rules and restrictions and a lack of one-on-one therapy. Those promoting service use were acts of kindness by staff, pleasant surroundings, and the promise (or attainment) of independent housing. Implications of these findings are discussed in terms of integrating consumers' opinions about services to enhance treatment engagement and retention.