How did a Housing First intervention improve health and social outcomes among homeless adults with mental illness in Toronto? Two-year outcomes from a randomised trial.
How did a Housing First intervention improve health and social outcomes among homeless adults with mental illness in Toronto? Two-year outcomes from a randomised trial.
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DOI：
10.1136/bmjopen-2015-010581
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发表时间：
2016-09-12
期刊：
影响因子：
2.9
通讯作者：
Hwang SW
中科院分区：
文献类型：
--
作者：
O'Campo P;Stergiopoulos V;Nir P;Levy M;Misir V;Chum A;Arbach B;Nisenbaum R;To MJ;Hwang SW
我们研究了多伦多的 At Home/Chez Soi 随机试验参与者中住房优先 (HF) 干预措施对住房、与司法系统的联系、医疗保健使用和健康结果的影响，多伦多拥有广泛的社会和健康服务网络，为无家可归和精神疾病的个人提供社会和健康服务。被确定为高需求的参与者被随机分配接受干预措施，即由自信的社区治疗团队（HF+ACT）为他们提供住房和支持的干预措施，或照常治疗（TAU）。参与者 (N=197) 在 2 年内每 3 个月进行一次面对面访谈。与 TAU 组相比，HF+ACT 组稳定居住的时间更长，组间平均差异为 45.8%（95% CI 37.1% 至 54.4%，p<0.0001）。考虑到基线差异，HF+ACT 组在社区功能、选定的生活质量分量表以及随访期间某些时间点的逮捕方面比 TAU 组显示出显着改善。随访期间，HF+ACT 组和 TAU 组在医疗服务使用、社区融合和物质使用方面没有观察到差异。在拥有许多社会和卫生服务的城市中，对于高需求个人的 HF 可以在 2 年内提高住房稳定性并选定健康和正义成果。 ISRCTN42520374。
We studied the impact of a Housing First (HF) intervention on housing, contact with the justice system, healthcare usage and health outcomes among At Home/Chez Soi randomised trial participants in Toronto, a city with an extensive service network for social and health services for individuals who are experiencing homelessness and mental illness. Participants identified as high needs were randomised to receive either the intervention which provided them with housing and supports by an assertive community treatment team (HF+ACT) or treatment as usual (TAU). Participants (N=197) had in-person interviews every 3 months for 2 years. The HF+ACT group spent more time stably housed compared to the TAU group with the mean difference between the groups of 45.8% (95% CI 37.1% to 54.4%, p<0.0001). Accounting for baseline differences, HF+ACT group showed significant improvements over TAU group for community functioning, selected quality-of-life subscales and arrests at some time points during follow-up. No differences between HF+ACT and TAU groups over the follow-up were observed for health service usage, community integration and substance use. HF for individuals with high levels of need increased housing stability and selected health and justice outcomes over 2 years in a city with many social and health services. ISRCTN42520374.
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影响因子：
2.9
作者：
Goering PN;Streiner DL;Adair C;Aubry T;Barker J;Distasio J;Hwang SW;Komaroff J;Latimer E;Somers J;Zabkiewicz DM
通讯作者：
Zabkiewicz DM
影响因子：
1.4
作者：
O'Campo, Patricia;Zerger, Suzanne;Stergiopoulos, Vicky
通讯作者：
Stergiopoulos, Vicky
影响因子：
4.5
作者：
Hwang, Stephen W.;Stergiopoulos, Vicky;Gozdzik, Agnes
通讯作者：
Gozdzik, Agnes
影响因子：
12.7
作者：
Palepu, Anita;Patterson, Michelle L.;Somers, Julian
通讯作者：
Somers, Julian
影响因子：
4.4
作者：
Clifasefi, Seema L.;Malone, Daniel K.;Collins, Susan E.
通讯作者：
Collins, Susan E.