Housing first, consumer choice, and harm reduction for homeless individuals with a dual diagnosis
Housing first, consumer choice, and harm reduction for homeless individuals with a dual diagnosis
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DOI：
10.2105/ajph.94.4.651
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发表时间：
2004-04-01
影响因子：
12.7
通讯作者：
Nakae, M
中科院分区：
文献类型：
--
作者：
Tsemberis, S;Gulcur, L;Nakae, M
目标.我们检查了针对无家可归者、精神病患者的住房优先计划对这些人的消费者选择、住房稳定性、药物使用、治疗利用和精神症状的纵向影响。方法。225名参与者被随机分配到接受住房条件的治疗和清醒（对照）或接受立即住房没有治疗的先决条件（实验）。每6个月进行一次访谈，持续24个月。实验组获得住房较早，保持稳定的住房，并报告较高的感知选择。对照组对药物滥用治疗的利用率显著高于对照组，但在药物使用或精神疾病方面没有发现差异。住房第一方案的参与者能够获得和维持独立的住房，而不损害精神病或药物滥用症状。
Objectives. We examined the longitudinal effects of a Housing First program for homeless, mentally ill individuals' on those individuals' consumer choice, housing stability, substance use, treatment utilization, and psychiatric symptoms.Methods. Two hundred twenty-five participants were randomly assigned to receive housing contingent on treatment and sobriety (control) or to receive immediate housing without treatment prerequisites (experimental). Interviews were conducted every 6 months for 24 months.Results. The experimental group obtained housing earlier, remained stably housed, and reported higher perceived choice. Utilization of substance abuse treatment was significantly higher for the control group, but no differences were found in substance use or psychiatric symptoms.Conclusions. Participants in the Housing First program were able to obtain and maintain independent housing without compromising psychiatric or substance abuse symptoms.