Effect of Full-Service Partnerships on Homelessness, Use and Costs of Mental Health Services, and Quality of Life Among Adults With Serious Mental Illness
Effect of Full-Service Partnerships on Homelessness, Use and Costs of Mental Health Services, and Quality of Life Among Adults With Serious Mental Illness
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DOI：
10.1001/archgenpsychiatry.2010.56
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发表时间：
2010-06-01
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：
Gilmer, Todd P.;Stefancic, Ana;Tsemberis, Sam
背景：患有严重精神疾病的长期无家可归的成年人是昂贵的住院和紧急精神病学服务的大量使用者。全方位服务伙伴关系（fsp）提供住房并让客户参与治疗。目的：探讨参与FSPs在康复结果、心理健康服务使用和费用以及生活质量方面的变化。设计：采用准实验、差异中差异设计和倾向评分匹配的对照组来比较FSP与公共精神卫生服务的精神卫生服务使用和成本。比较服务使用前后的恢复结果，并对生活质量进行横断面比较。地点：加州圣地亚哥县，2005年10月至2008年6月。参与者：209名FSP客户和154名接受公共精神卫生服务的客户。主要结果测量：康复结果（住房、经济支持和就业）、精神卫生服务使用（门诊、住院、急诊和司法系统服务的使用），以及公共精神卫生系统角度的精神卫生服务和住房成本。结果：在FSP参与者中，每年无家可归的平均天数从191天减少到62天，减少了129天；接受住院、急诊和司法系统服务的概率分别下降了14、32和17个百分点；门诊心理健康就诊次数增加了78次(P
Context: Chronically homeless adults with severe mental illness are heavy users of costly inpatient and emergency psychiatric services. Full-service partnerships (FSPs) provide housing and engage clients in treatment.Objective: To examine changes in recovery outcomes, mental health service use and costs, and quality of life associated with participation in FSPs.Design: A quasi-experimental, difference-in-difference design with a propensity score matched control group was used to compare mental health service use and costs of FSP with public mental health services. Recovery outcomes were compared before and after services use, and quality of life was compared cross-sectionally.Setting: San Diego County, California, from October 2005 through June 2008.Participants: Two hundred nine FSP clients and 154 clients receiving public mental health services.Main Outcome Measures: Recovery outcomes (housing, financial support, and employment), mental health service use (use of outpatient, inpatient, emergency, and justice system services), and mental health services and housing costs from the perspective of the public mental health system.Results: Among FSP participants, the mean number of days spent homeless per year declined 129 days from 191 to 62 days; the probability of receiving inpatient, emergency, and justice system services declined by 14, 32, and 17 percentage points, respectively; and outpatient mental health visits increased by 78 visits (P