A Qualitative Study Exploring Access to Mental Health and Substance Use Support among Individuals Experiencing Homelessness during COVID-19.
A Qualitative Study Exploring Access to Mental Health and Substance Use Support among Individuals Experiencing Homelessness during COVID-19.
复制标题
DOI：
10.3390/ijerph19063459
复制
发表时间：
2022-03-15
影响因子：
--
通讯作者：
Ramsay SE
中科院分区：
文献类型：
--
作者：
Adams EA;Parker J;Jablonski T;Kennedy J;Tasker F;Hunter D;Denham K;Smiles C;Muir C;O'Donnell A;Widnall E;Dotsikas K;Kaner E;Ramsay SE
与普通人群相比，无家可归者精神健康不良和使用药物的比率较高，而获得保健服务的机会较低。新冠肺炎疫情导致医疗和社会护理服务领域的服务提供方式发生了变化，许多服务用户采用了虚拟或电话支持。本文探讨了新冠肺炎疫情期间无家可归者获得基于社区的心理健康和物质使用支持的经验。对10名女性和16名男性(年龄在25岁到71岁之间)进行了定性的电话采访，他们自认为在2021年2月至5月期间在英格兰东北部经历了无家可归。对五个有生活经验的个体，使用归纳反身性主题分析对结果进行了分析。对支持提供的被动改变往往会导致无意中的排斥。访问障碍包括：物理位置、恢复故事的重复、个人准备情况和可获得性有限。与会者建议创造反映选择和赋权的需要和机会的服务。社区精神健康和对无家可归者的物质使用支持应确保支持是个性化的、对需要做出反应、包容和了解创伤。这项研究的结果对于在公共健康危机期间经历无家可归的个人的心理健康和物质使用政策和实践具有重要的意义。
People experiencing homelessness have higher rates of mental ill-health and substance use and lower access to health services compared to the general population. The COVID-19 pandemic led to changes in service delivery across health and social care services, with many adopting virtual or telephone support for service users. This paper explores the experiences of access to community-based mental health and substance use support for people experiencing homelessness during the COVID-19 pandemic. Qualitative telephone interviews were conducted with 10 women and 16 men (ages 25 to 71) who self-identified as experiencing homelessness in North East England between February and May 2021. With five individuals with lived experience, results were analysed using inductive reflexive thematic analysis. Reactive changes to support provision often led to inadvertent exclusion. Barriers to access included: physical locations, repetition of recovery stories, individual readiness, and limited availability. Participants suggested creating services reflective of need and opportunities for choice and empowerment. Community mental health and substance use support for people experiencing homelessness should ensure the support is personalised, responsive to need, inclusive, and trauma-informed. The findings of this research have important implications for mental health and substance use policy and practice for individuals who experience homelessness during a public health crisis.
登录
查看更多内容
DOI：
10.1111/hex.13088
发表时间：
2021-05
期刊：
Health expectations : an international journal of public participation in health care and health policy
影响因子：
--
作者：
Dewa LH;Lawrence-Jones A;Crandell C;Jaques J;Pickles K;Lavelle M;Pappa S;Aylin P
通讯作者：
Aylin P
影响因子：
6.3
作者：
Baum, Fran;MacDougall, Colin;Smith, Danielle
通讯作者：
Smith, Danielle
影响因子：
3.1
作者：
Conway B;Truong D;Wuerth K
通讯作者：
Wuerth K
影响因子：
5.4
作者：
Archibald, Mandy M.;Ambagtsheer, Rachel C.;Lawless, Michael
通讯作者：
Lawless, Michael
影响因子：
4.4
作者：
Aponte-Melendez Y;Mateu-Gelabert P;Fong C;Eckhardt B;Kapadia S;Marks K
通讯作者：
Marks K