Role of social disadvantage in crime, joblessness, and homelessness among persons with serious mental illness
Role of social disadvantage in crime, joblessness, and homelessness among persons with serious mental illness
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DOI：
10.1176/appi.ps.53.5.565
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发表时间：
2002-05-01
影响因子：
3.8
通讯作者：
Hadley, TR
中科院分区：
文献类型：
--
作者：
Draine, J;Salzer, MS;Hadley, TR
关于精神疾病与犯罪、失业和无家可归等社会问题的研究往往忽视了精神疾病所处的更广泛的社会背景。如果更多地关注社会背景，政策、研究和实践将得到改善。作者批判性地分析了许多精神病服务文献中使用的方法，以推断精神疾病和社会问题之间的联系。他们将这些研究与那些更有效地概念化以解释社会背景的研究进行了比较。从这个更广泛的角度来看，精神疾病对犯罪，失业和无家可归的影响似乎比许多精神病服务文献所暗示的要小得多。贫困缓和了严重精神疾病与社会问题之间的关系。与贫困有关的因素包括缺乏教育、就业问题、滥用药物以及亲社会依恋的可能性低。这种关系往往是复杂的，不能简单地解释。考虑到这一复杂性的研究和政策可能会导致对严重精神疾病患者的干预措施更有效。
Research on mental illness in relation to social problems such as crime, unemployment, and homelessness often ignores the broader social context in which mental illness is embedded. Policy, research, and practice will be improved if greater attention is given to social context. The authors critically analyze the approach used in much of the psychiatric services literature to infer links between mental illness and social problems. They compare these studies with studies that have been more validly conceptualized to account for social context. With this broader perspective, the impact of mental illness on crime, unemployment, and homelessness appears to be much smaller than that implied by much of the psychiatric services literature. Poverty moderates the relationship between serious mental illness and social problems. Factors related to poverty include lack of education, problems with employment, substance abuse, and a low likelihood of prosocial attachments. This relationship is often complicated and is not amenable to simple explanations. Research and policy that take this complexity into account may lead to greater effectiveness in interventions for persons with serious mental illness.