Effects of substance abuse on housing stability of homeless mentally Ill persons in supported housing.
Effects of substance abuse on housing stability of homeless mentally Ill persons in supported housing.
复制标题
药物滥用对支持性住房中无家可归的精神病患者住房稳定性的影响。
DOI：
10.1176/ps.47.7.731
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发表时间：
1996
期刊：
影响因子：
--
通讯作者：
Wood,PA
中科院分区：
文献类型：
--
作者：
Hurlburt,MS;Hough,RL;Wood,PA
这项研究调查了无家可归的精神病患者两年的住房结果，他们参加了一项支持性住房的实验性调查。住房成果和客户端的特性，如性别，精神病诊断，和物质使用之间的关系，是主要interests.MethodsA双因素，纵向设计。在圣地亚哥县被诊断为患有慢性和严重精神疾病的无家可归的客户被随机分配到四个实验条件。通过第8节的租金补贴证明，一半的客户更容易获得独立住房。所有客户都得到了灵活的案件管理，但有一半客户得到了更全面的案件管理服务。每个人的住房超过两年的时间被分为三类：稳定的独立住房，稳定的住房在另一个设置在社区，或不稳定housing.ResultsClient访问第8节住房证书更有可能实现独立的住房比客户没有访问第8节证书，但没有出现在两个不同层次的情况下管理的差异。住房稳定性受到几个协变量的强烈影响，尤其是毒品或酒精问题的存在。结论支持性住房干预措施可以成为在独立社区环境中稳定无家可归精神病患者的非常成功的工具。其优点包括这些环境的限制程度低，许多客户倾向于独立住房。然而，支助性住房项目的成功很可能在很大程度上取决于所服务人口的具体特点。
ObjectiveThe study examined two-year housing outcomes of homeless mentally ill clients who took part in an experimental investigation of supported housing. The relationships between housing outcomes and client characteristics, such as gender, psychiatric diagnosis, and substance use, were of primary interest.MethodsA two-factor, longitudinal design was used. Homeless clients in San Diego County who were diagnosed as having chronic and severe mental illness were randomly assigned to four experimental conditions. Half of the clients were given better access to independent housing through Section 8 rent subsidy certificates. All clients received flexible case management, but half were provided more comprehensive case management services. The housing of each individual over a two-year period was classified in one of three categories: stable independent housing, stable housing in another setting in the community, or unstable housing.ResultsClients with access to Section 8 housing certificates were much more likely to achieve independent housing than clients without access to Section 8 certificates, but no differences emerged across the two different levels of case management. Housing stability was strongly mediated by several covariates, especially the presence of problems with drugs or alcohol.ConclusionsSupported housing interventions can be very successful tools for stabilizing homeless mentally ill individuals in independent community settings. Advantages include the low level of restrictiveness of these settings and the preference of many clients for independent housing. However, the success of supported housing projects is likely to depend strongly on the specific characteristics of the population being served.