Transitions through homelessness and factors that predict them: Three-year treatment outcomes
Transitions through homelessness and factors that predict them: Three-year treatment outcomes
复制标题
DOI：
10.1016/j.jsat.2004.10.011
复制
发表时间：
2005-01-01
影响因子：
3.9
通讯作者：
Arieira, C
中科院分区：
文献类型：
--
作者：
Orwin, RG;Scott, CK;Arieira, C
在芝加哥目标城市样本中，对进入治疗的成年人中无家可归的过程进行了检查，其目的是改善美国大都市地区的服务提供系统。本研究的目的是：（1）检查进入治疗后3年内无家可归的转变;和（2）确定预测实现和维持住宅稳定性的治疗和非治疗因素。最初无家可归的参与者中有61%在36个月内稳定居住。相比之下，只有14%的最初居住的参与者在36个月时无家可归。在整个抽样范围内，无家可归者在3年内减少了43%。在条件Logistic回归模型中，最一致和持久的预测因素是裂纹作为主要问题物质，这似乎是成为和保持无家可归的风险因素，以及其他人是否依赖于参与者的食物/住所，这似乎是实现住房和防止无家可归的保护因素。一般来说，特定的治疗因素不能预测结果。治疗的局限性和影响进行了讨论。(c)2005年爱思唯尔公司All rights reserved.
The course of homelessness was examined among adults entering treatment in the Chicago Target Cities sample, which was aimed at improving the service delivery system in large metropolitan areas across the U.S. The objectives of the present study were: (1) Examine transitions in and out of homelessness over 3 years post entry into treatment; and (2) Determine the treatment and non-treatment factors that predict achieving and sustaining residential stability. Sixty-one percent of initially homeless participants were stably housed at 36 months. By contrast, only 14% of initially housed participants were homeless at 36 months. Sample-wide, homelessness was reduced by 43% over 3 years. In conditional logistic regression models, the most consistent and persistent predictors were crack as the primary problem substance, which appears to be a risk factor for becoming and remaining homeless, and whether or not others were dependent on the participant for food/shelter, which appears to be a protective factor for achieving housing and preventing homelessness. In general, specific treatment factors did not predict outcomes. Limitations and implications for treatment are discussed. (c) 2005 Elsevier Inc. All rights reserved.