Applying a Time-Patterned Typology of Homelessness Among Individuals with Mental Illness
Applying a Time-Patterned Typology of Homelessness Among Individuals with Mental Illness
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DOI：
10.1002/ajcp.12140
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发表时间：
2017-06-01
影响因子：
3.1
通讯作者：
Collins, Kelly
中科院分区：
文献类型：
--
作者：
Brown, Molly;Chodzen, Gia;Collins, Kelly
确定无家可归人口的亚群或类型学，一直是指导无家可归服务和政策的一个重要研究重点。这项研究建立在以前的类型学研究进行的一般无家可归的人口，重点是个人与精神疾病，以进一步描绘类型学在一个更同质的无家可归的人口的子集。一个时间模式的类型学的基础上的情节街头和收容所无家可归超过四年的时间被应用到一个样本的246个人确定通过精神卫生行政记录。根据无家可归者的模式设立了四个小组：26.8%的人无家可归4年，13.4%的人有过一次无家可归但在随访结束时不再无家可归，48.4%的人至少有过两次无家可归，11.4%的人有过一次无家可归持续3个月或更短的经历。存在精神障碍、物质滥用和研究登记年份显著预测了群体成员资格。研究了从无家可归状态退出后和四年随访结束时的居住轨迹。当前的政策和未来的研究的影响进行了讨论。HighlightsThis study presented a typology of homelessness among a sample of individuals with mental diseases.使用居住地管理数据对40多年来的无家可归模式进行了审查。精神障碍诊断与过渡性或间歇性无家可归有关。精神病诊断不太严重的个人可能有独特的住房障碍。
Identification of subgroups of the homeless populations, or typologies, has been an important research priority to guide homelessness services and policies. This study builds on previous typological research conducted in the general homeless population by focusing on individuals with mental illness to further delineate typologies within a more homogenous subset of the homeless population. A time-patterned typology based on episodes of street and shelter homelessness over a four-year period was applied to a sample of 246 individuals identified through mental health administrative records. Four groups were created based upon patterns of homelessness: 26.8% experienced homelessness for 4years, 13.4% had one episode of homelessness but were no longer homeless at the end ofthe follow-up, 48.4% had at least two episodes ofhomelessness, and 11.4% had a single episode of homelessness lasting 3months or less. Findings from a multinomial logistic regression indicated that gender, presence of a psychotic disorder, substance abuse, and year of study enrollment significantly predicted group membership. Residential trajectories upon exit from homelessness and at the end of the four-year follow-up were examined. Implications for current policy and future research are discussed.HighlightsThis study presents a typology of homelessness among a sample of individuals with mental illness. Homelessness patterns over 4years were examined using residential administrative data. A psychotic disorder diagnosis was associated with transitional or intermittent homelessness. Individuals with less severe psychiatric diagnoses may have unique barriers to housing.