Problem solving skills and deficits among homeless veterans with serious mental illness.

Problem solving skills and deficits among homeless veterans with serious mental illness.
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DOI:
10.1037/ort0000340
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发表时间:
2019
期刊:
The American journal of orthopsychiatry
影响因子:
--
通讯作者:
Young AS
Young AS
中科院分区:
其他
文献类型:
--
作者:
Gabrielian S;Bromley E;Hamilton AB;Vu VT;Alexandrino A;Koosis E;Young AS

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很少有干预措施对无家可归的消费者进行与住房有关的独立生活技能培训。为了告知退伍军人事务部(VA)支持住房消费者患有严重精神疾病的这种干预措施的发展,我们研究了这些消费者解决问题的技能和缺陷。我们对20名保留住房≥1年的消费者(“居住者”)和20名在1年内失去住房的消费者(“退出者”)进行了半结构化访谈和认知测试。在定性数据中确定了问题的突出类型;我们按复杂程度对解决问题的方法进行了分类,并根据消费者的住房结果确定了解决问题复杂性的差异。仪器(例如,金钱管理)、人际关系和健康相关的问题在消费者的叙述中很突出。留守人员和出境人员的认知能力较差。解决问题的办法与支助性住房的日常运作密切相关。有一个趋势,即更大的解决问题的复杂性,在stayers与exiters。这些数据探讨了在支助性住房方面面临的潜在挑战,并有助于为制定以弗吉尼亚州住房为重点的技能培训干预措施提供信息。
Few interventions train homeless consumers in housing-related independent living skills. To inform the development of such interventions for the Department of Veterans Affairs’ (VA) supported housing consumers with serious mental illness, we examined these consumers’ problem-solving skills and deficits. We performed semi-structured interviews and cognitive tests with 20 consumers who retained housing for ≥1 year (“stayers”) and 20 consumers who lost housing in <1 year (“exiters”). Salient types of problems were identified in the qualitative data; we categorized problem-solving approaches by complexity level and identified differences in problem-solving complexity by consumers’ housing outcomes. Instrumental (e.g., money management), interpersonal, and health-related problems were prominent in consumers’ narratives. Cognition was poor among stayers and exiters. Problem-solving approaches were highly relevant to day-to-day functioning in supported housing. There was a trend towards greater problem-solving complexity in stayers vs. exiters. These data explore potential challenges faced in supported housing and help inform the development of a VA-based housing-focused skills training intervention.
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无家可归成年人认知功能的定量综述。
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