Homelessness, severe mental illness, and the institutional circuit.
Homelessness, severe mental illness, and the institutional circuit.
复制标题
无家可归、严重精神疾病和机构循环。
作者：
K. Hopper;J. Jost;Terri Hay;Susan Welber;G. Haugland
目的
关于严重精神病患者无家可归问题的研究往往侧重于需求方面，如风险因素或结构和经济力量。作者强调了供给因素的补充作用，认为解决居住不稳定的“办法”通常是一系列机构安置与收容所住宿交替有效地使一些患有严重精神疾病的人永久无家可归。
方法
1995年上半年，在纽约的韦斯特切斯特县连续36名被收容工作人员判定为严重精神病患者的庇护申请人，采用修改后的生命图表格式进行了访谈。详细的叙述历史的构建和审查的主题。
结果
在36名受试者中，有20人在过去五年中平均有59%的时间在机构和收容所度过。对36名受试者的居住历史进行分析后发现，庇护所在他们的生活中以四种不同的方式发挥作用：作为更广泛的制度循环的一部分，作为过渡性住房的临时来源，作为亲属耗尽支持的替代品，以及作为基本游牧生活中的偶然资源。第一种模式在这一组中占主导地位。
结论
收容所和其他拘留机构具有混合功能，有效地取代了一些严重精神疾病患者的更稳定和适当的住房。
OBJECTIVE
Research on homelessness among persons with severe mental illness tends to focus on aspects of demand, such as risk factors or structural and economic forces. The authors address the complementary role of supply factors, arguing that "solutions" to residential instability-typically, a series of institutional placements alternating with shelter stays-effectively perpetuate homelessness among some persons with severe mental illness.
METHODS
Thirty-six consecutive applicants for shelter in Westchester County, New York, in the first half of 1995 who were judged to be severely mentally ill by intake workers were interviewed using a modified life chart format. Detailed narrative histories were constructed and reviewed with the subjects.
RESULTS
Twenty of the 36 subjects had spent a mean of 59 percent of the last five years in institutions and shelters. Analysis of the residential histories of the 36 subjects revealed that shelters functioned in four distinctive ways in their lives: as part of a more extended institutional circuit, as a temporary source of transitional housing, as a surrogate for exhausted support from kin, and as a haphazard resource in essentially nomadic lives. The first pattern dominated in this group.
CONCLUSIONS
Shelters and other custodial institutions have acquired hybrid functions that effectively substitute for more stable and appropriate housing for some persons with severe mental illness.
城市监狱中精神病患者无家可归。
DOI：
10.1176/ps.43.2.169
发表时间：
1992
期刊：
Hospital & community psychiatry
影响因子：
--
作者：
Solomon,PL;Draine,JN;Marcenko,MO;Meyerson,AT
通讯作者：
Meyerson,AT
无家可归对严重精神疾病患者生活质量的影响。
DOI：
10.1176/ps.46.9.922
发表时间：
1995
期刊：
Psychiatric services (Washington, D.C.)
影响因子：
--
作者：
Lehman,AF;Kernan,E;DeForge,BR;Dixon,L
通讯作者：
Dixon,L