Community integration of adults with psychiatric disabilities and histories of homelessness
Community integration of adults with psychiatric disabilities and histories of homelessness
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DOI：
10.1007/s10597-006-9073-4
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发表时间：
2007-06-01
影响因子：
2.7
通讯作者：
Greenwood, Ronni M.
中科院分区：
文献类型：
--
作者：
Gulcur, Leyla;Tsemberis, Sam;Greenwood, Ronni M.
本研究检验了Wong和Solomon （2002, Mental Health Services Research, 4(2), 13-28）社区整合模型的组成部分，确定了整合的维度和预测因素。该研究评估了精神残疾成年人的社区整合情况，这些成年人被随机分配到采用住房优先方法的独立分散公寓（实验）或常规服务（对照）。因子分析支持了社区整合的定义，包括心理、身体和社会领域，但也表明存在另一个因素，独立/自我实现。回归分析表明，选择和独立的散点住房分别是心理整合和社会整合的预测因子。精神病住院治疗、症状学和参与药物使用治疗也会影响整合的各个方面。我们讨论了未来研究应该探讨的几个问题，包括同一因素可能对整合的离散方面产生不同影响的可能性、人与环境契合的作用、非基于社区的整合，以及最后，从消费者自身的角度看待社区整合的概念。
This study tests components of Wong and Solomon's (2002, Mental Health Services Research, 4(2), 13-28) model of community integration, identifying both the dimensions and predictors of integration. It evaluates community integration among adults with psychiatric disabilities assigned randomly to receive either independent scatter-site apartments with the Housing First approach (experimental) or services as usual (control). Factor analysis supported a definition of community integration that includes psychological, physical, and social domains, but also suggested the existence of another factor, independence/self-actualization. Regression analysis suggested that choice and independent scatter-site housing were predictors of psychological and social integration respectively. Psychiatric hospitalization, symptomatology and participation in substance use treatment were also found to influence aspects of integration. We discuss several issues that future studies should explore including the possibility that the same factor can differentially influence discrete aspects of integration, the role of person-environment fit, integration that is not based in the neighborhood, and, finally, conceptions of community integration from the perspective of consumers themselves.