Do cognition and other person-level characteristics determine housing outcomes among homeless-experienced adults with serious mental illness?
Do cognition and other person-level characteristics determine housing outcomes among homeless-experienced adults with serious mental illness?
复制标题
认知和其他人级特征是否决定了患有严重精神疾病的无家可归者经验的成年人的住房结果？
DOI：
10.1037/prj0000457
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发表时间：
2021-06
影响因子：
1.9
通讯作者：
Young AS
中科院分区：
文献类型：
--
作者：
Gabrielian S;Hellemann G;Koosis ER;Green MF;Young AS
许多有过无家可归经历的严重精神病患者都在努力维持稳定和独立的住房。我们对这一人口住房状况的决定因素知之甚少。本研究旨在确定无家可归的退伍军人与SMI之间的住房状况的个人层面的决定因素，主要集中在认知。我们管理的横断面调查和详细的认知评估的方便样本无家可归的经验丰富的退伍军人与SMI（n=90），我们还审查了这些参与者的医疗记录。我们捕获了住房状况的个人水平潜在预测因素（人口统计学，认知，诊断，症状和服务利用）和两年的回顾性住房历史。参与者的住房状况被概念化为他们在过去两年中居住超过50%的环境（稳定住房、其他庇护环境、街道）。我们使用卡方检验和方差分析来确定潜在的预测因子如何因住房状况而异。我们使用递归分割来确定潜在的预测因子和相应的分数的组合，最好的住房状况的参与者区分。在按住房状况分组的参与者中，没有发现认知、症状或其他个人因素的组间差异（p<0.05）。递归分区没有产生一个稳定的模型来预测住房状况的潜在预测变量。这些数据表明，针对研究的个人层面因素（例如，认知康复）可能不会影响无家可归的退伍军人的住房状况。由于住房在很大程度上受到健康的社会决定因素的影响，因此，经济适用房供应）可能更有可能改善住房状况。
Many persons with serious mental illness (SMI) who have experienced homelessness struggle to sustain stable and independent housing. We know little about determinants of this population’s housing status. This study aimed to identify person-level determinants of housing status among homeless-experienced Veterans with SMI, focused primarily on cognition. We administered cross-sectional surveys and detailed cognitive assessments on a convenience sample of homeless-experienced Veterans with SMI (n=90); we also reviewed these participants’ medical records. We captured person-level potential predictors of housing status (demographics, cognition, diagnoses, symptoms, and service utilization) and two years of retrospective housing history. Participants’ housing status was conceptualized as the setting (stable housing, other sheltered settings, streets) they lived in for >50% of the past two years. We used the chi-square test and analysis of variance to determine how potential predictors differed by housing status. We used recursive partitioning to identify the combination of potential predictors and corresponding scores that best-differentiated participants by housing status. No between-group differences (p<.05) in cognition, symptoms, or other person-level factors were found among participants grouped by housing status. Recursive partitioning did not yield a stable model to predict housing status from the potential predictor variables. These data suggest that clinical interventions addressing studied person-level factors (e.g., cognitive rehabilitation) may not affect housing status for homeless-experienced Veterans. As housing is highly influenced by social determinants of health, policies and practices that affect contextual factors (e.g., affordable housing supply) may be more likely to improve housing status.
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无家可归成年人认知功能的定量综述。
DOI：
10.1097/nmd.0000000000000248
发表时间：
2015-02
期刊：
The Journal of nervous and mental disease
影响因子：
--
作者：
Depp CA;Vella L;Orff HJ;Twamley EW
通讯作者：
Twamley EW
影响因子：
3.9
作者：
Hellemann, Gerhard;Conner, Bradley T.;Longshore, Douglas
通讯作者：
Longshore, Douglas
影响因子：
4
作者：
Klein, KJK;Hedges, SD
通讯作者：
Hedges, SD
影响因子：
4
作者：
Kumar, Sanjeev;Mulsant, Benoit H.;Rajji, Tarek K.
通讯作者：
Rajji, Tarek K.
影响因子：
5
作者：
ANDERSEN, RM
通讯作者：
ANDERSEN, RM