Housing for persons with serious mental illness: Consumer and service provider preferences
Housing for persons with serious mental illness: Consumer and service provider preferences
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DOI：
10.1176/appi.ps.59.9.1011
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发表时间：
2008-09-01
影响因子：
3.8
通讯作者：
Bloom, David
中科院分区：
文献类型：
--
作者：
Piat, Myra;Lesage, Alain;Bloom, David
目的：本研究评估了居住在魁北克省蒙特利尔七种类型住房中的患有严重精神疾病的消费者的代表性样本的住房偏好，并将其与其案例经理对其的住房偏好进行了比较。方法：与三所精神病医院和地区卫生委员会的管理人员协商，编制了该人群所有住房的清单。清单包括七类：医院环境中的住房、宿舍、团体之家、寄养之家、监管公寓、社会住房（低收入住房或合作住房）和私人住房。每个类别均抽取了 48 名消费者的分层随机样本。共有 315 名消费者及其个案经理完成了消费者住房偏好调查。结果：大多数消费者更喜欢居住在为他们提供比目前居住的住房更多自主权的住房中。案例经理更喜欢提供某种结构的住房，例如受监管的公寓。百分之四十四的消费者更喜欢住在自己的公寓里。超过三分之一的消费者更愿意住在目前的住房中。结论：在评估住房偏好时，重要的是要征求心理健康消费者及其个案管理者的观点。应特别关注消费者目前居住的住房类型。需要多种住房，而不仅仅是自主住房，来满足患有严重精神疾病的个人的特定住房偏好。
Objective: This study evaluated the housing preferences of a representative sample of consumers with serious mental illness living in seven types of housing in Montreal, Quebec, and compared these with their case managers' housing preferences for them. Methods: An inventory of all housing for this population was developed in consultation with administrators of three psychiatric hospitals and the regional health board. The inventory included seven categories: housing in a hospital setting, hostels, group homes, foster homes, supervised apartments, social housing (low-income housing or cooperative), and private rooming homes. A stratified random sample of 48 consumers was selected in each category. In all, 315 consumers and their case managers completed the Consumer Housing Preference Survey. Results: Most consumers preferred living in housing that offered them more autonomy than the housing in which they were currently living. Case managers preferred housing that offered some structure, such as supervised apartments. Forty-four percent of consumers preferred to live in their own apartment. More than a third of consumers preferred to live in their current housing. Conclusions: When evaluating housing preferences, it is important to elicit the viewpoints of mental health consumers as well as their case managers. Special attention should be given to the type of housing where consumers currently live. A variety of housing, not just autonomous housing, is needed to meet the specific housing preferences of individuals with serious mental illness.