A protocol to develop and study the effectiveness and implementation of social skills training that improves supported housing retention for persons with serious mental illness.
A protocol to develop and study the effectiveness and implementation of social skills training that improves supported housing retention for persons with serious mental illness.
复制标题
制定和研究社交技能培训的有效性和实施情况的协议，以改善患有严重精神疾病的人的支持性住房保留。
DOI：
10.1016/j.conctc.2019.100344
复制
发表时间：
2019
影响因子：
1.5
通讯作者：
Young,AlexanderS
中科院分区：
文献类型：
--
作者：
Gabrielian,Sonya;Hamilton,AlisonB;Gelberg,Lillian;Hellemann,Gerhard;Koosis,EllaR;Johnson,Axeline;Young,AlexanderS
提供永久性社区住房和支持性服务的支助性住房有效地解决了无家可归问题。然而，许多患有严重精神疾病（SMI）的人很难在这些项目中保留住房。社会技能——促进社会互动和工具性任务——预示着从保障性住房中过早退出。虽然社会技能培训有效地提高了重度精神障碍患者的社会技能和功能，但这种干预措施在支持性住房倡议中基本上是缺失的。方法本研究将采用文献回顾法、关键信息提供者访谈法和专家小组法，将社会技能培训与保障性住房相结合，旨在提高这些项目中重度精神障碍人员的住房保留率。在退伍军人事务部大洛杉矶地区的住房和城市发展部支持住房项目（HUD-VASH）中，我们将对适应性干预措施进行有效性-实施混合I型试验。基线和6个月评估（测量社会技能、心理健康状况、医疗保健利用、社会网络、资金管理和住房结果）将在干预参与者（n = 30）和常规护理对照组（n = 20）中进行。我们将使用广义线性混合模型（GLMM）来比较6个月内各组之间的变化，以捕捉干预措施对与住房保留密切相关的因素的有效性。定性数据和对工作人员、领导和参与者的调查将收集有关干预措施未来在常规护理中实施的相关因素的数据。在支持性住房倡议中，很少有针对重度精神障碍患者的有效心理社会干预措施被改编或研究。据我们所知，这是第一个适应和研究社会技能培训在支持住房计划中的有效性和实施的研究。
IntroductionSupported housing−which offers permanent, community-based housing and supportive services−effectively addresses homelessness. Yet, many persons with serious mental illness (SMI) struggle to retain housing in these programs. Social skills−which facilitate social interactions and instrumental tasks−predict premature exits from supported housing. Though social skills training effectively improves social skills and functioning for persons with SMI, this intervention is essentially absent from supported housing initiatives.MethodsThis study will use literature review, key informant interviews and an expert panel to adapt social skills training for supported housing, aiming to improve housing retention among SMI persons in these programs. In the Department of Housing and Urban Development-VA Supported Housing program (HUD-VASH) at VA Greater Los Angeles, we will conduct an effectiveness-implementation hybrid type I trial of the adapted intervention. Baseline and 6-month assessments (measuring social skills, mental health status, healthcare utilization, social networks, money management, and housing outcomes) will be conducted with intervention participants (n = 30) and a usual care control group (n = 20). We will use the generalized linear mixed model (GLMM) to compare change over 6 months between groups, capturing the intervention's effectiveness on factors strongly associated with housing retention. Qualitative data and surveys with staff, leadership, and participants will gather data on factors relevant to the intervention's future implementation in routine care.DiscussionFew effective psychosocial interventions for persons with SMI have been adapted or studied in supported housing initiatives. To our knowledge, this is the first study to adapt and study the effectiveness and implementation of social skills training in supported housing programs.