Housing First for long-term shelter dwellers with psychiatric disabilities in a suburban county: a four-year study of housing access and retention.
Housing First for long-term shelter dwellers with psychiatric disabilities in a suburban county: a four-year study of housing access and retention.
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DOI：
10.1007/s10935-007-0093-9
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发表时间：
2007-07-01
期刊：
影响因子：
--
通讯作者：
Tsemberis, Sam
中科院分区：
文献类型：
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作者：
Stefancic, Ana;Tsemberis, Sam
“住房第一”是一项有效的干预措施，可以结束和防止患有严重精神疾病和同时成瘾的人无家可归。通过提供永久、独立的住房，无需清醒和治疗的先决条件，并通过消费者驱动的自信社区治疗团队提供支持服务，住房第一消除了长期无家可归的消费者获得和维持住房的一些主要障碍。在这项研究中，被诊断患有严重精神疾病且在郊区县拥有最长住房使用历史的消费者被随机分配到两个住房优先计划之一或照常治疗对照组。分配到“住房优先”的参与者被安置在永久住房的比例高于照常治疗组，并且在四年的时间里，被两个“住房优先”机构安置的大多数消费者都能够维持永久、独立的住房。结果还强调，刚接触住房优先的提供者必须意识到他们的做法可能偏离住房优先的基本特征，特别是在先到先得的基础上招募符合条件的消费者，并将临床问题与租户或住房责任分开。最后，讨论了成功实施住房第一计划的其他方面。
Housing First is an effective intervention that ends and prevents homelessness for individuals with severe mental illness and co-occurring addictions. By providing permanent, independent housing without prerequisites for sobriety and treatment, and by offering support services through consumer-driven Assertive Community Treatment teams, Housing First removes some of the major obstacles to obtaining and maintaining housing for consumers who are chronically homeless. In this study, consumers diagnosed with severe mental illness and who had the longest histories of shelter use in a suburban county were randomly assigned to either one of two Housing First programs or to a treatment-as-usual control group. Participants assigned to Housing First were placed in permanent housing at higher rates than the treatment-as-usual group and, over the course of four years, the majority of consumers placed by both Housing First agencies were able to maintain permanent, independent housing. Results also highlight that providers new to Housing First must be aware of ways in which their practices may deviate from the essential features of Housing First, particularly with respect to enrolling eligible consumers on a first-come, first-served basis and separating clinical issues from tenant or housing responsibilities. Finally, other aspects of successfully implementing a Housing First program are discussed.