Impact of a Housing First Program on Health Utilization Outcomes Among Chronically Homeless Persons
Impact of a Housing First Program on Health Utilization Outcomes Among Chronically Homeless Persons
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DOI：
10.1177/2150131910385248
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发表时间：
2011-01-01
影响因子：
3.6
通讯作者：
Targonski, Paul
中科院分区：
文献类型：
--
作者：
DeSilva, Malini B.;Manworren, Julie;Targonski, Paul
作者研究了住房第一计划对长期无家可归者使用特定卫生服务、戒毒服务和犯罪活动的影响。研究样本包括明尼苏达州明尼阿波利斯市单身成年人住宅援助计划（SARA）的初始队列（18名登记者）的合格成员。分析研究了参与者在SARA注册后的住房稳定性，并比较了在SARA注册前后2年内县医疗中心的使用，戒毒计划和犯罪活动。在SARA登记后的2年随访期间，研究的18名登记者中只有1名经历了无家可归。在SARA注册后的2年内，犯罪活动的数量显著减少。其他服务用途观察到的关联方向与现有文献中的预期保持一致，但没有统计学意义。为长期无家可归者提供支助性住房可能会成功地减少这一脆弱人口中的无家可归现象，并可能有助于减少犯罪活动。
The authors examined the impact of a Housing First program on the use of specific health services, detoxification services, and criminal activity of long-term homeless individuals. The study sample consisted of eligible members of the inception cohort (18 enrollees) in the Single Adults Residential Assistance program (SARA) in Minneapolis, Minnesota. Analyses examined participant housing stability after enrollment in SARA and compared the use of a county medical center, detoxification programs, and criminal activity in the 2 years before and after enrollment in SARA. Only 1 of the 18 enrollees studied experienced homelessness during the 2-year follow-up after enrollment in SARA. There was a significant reduction in the amount of criminal activity in the 2-year period after SARA enrollment. The direction of association observed for other service uses remained consistent with expectations in existing literature, but were not statistically significant. Supportive housing for chronically homeless individuals may be successful at decreasing homelessness among this fragile population and may help reduce criminal activity.