The role of housing: a comparison of front-line provider views in housing first and traditional programs.
The role of housing: a comparison of front-line provider views in housing first and traditional programs.
复制标题
DOI：
10.1007/s10488-010-0303-2
复制
发表时间：
2011-03
影响因子：
2.6
通讯作者：
Padgett, Deborah K.
中科院分区：
文献类型：
--
作者：
Henwood, Benjamin F.;Stanhope, Victoria;Padgett, Deborah K.
在精神卫生系统内，针对患有严重精神疾病且无家可归的成年人有两种不同的服务模式：一种是在获得永久住房之前优先考虑治疗（治疗优先），另一种是先提供永久住房，然后提供临床支持（住房优先）。调查在这两种模式下工作的一线提供商提供了一个机会，可以从内部人士的角度更多地了解其实施情况，从而揭示实际实践是否与这些计划模式的对比哲学价值观一致或相反。作为 NIMH 资助的定性研究的一部分，从四个机构招募了 41 名提供者。我们与探索在这些机构内工作的提供商进行了持续 30-45 分钟的多次深入访谈。利用主题分析来比较 20 家从事住房优先计划的提供者与 21 家从事治疗优先计划的提供者的观点。提供者将住房视为优先事项，但治疗第一和住房第一提供者之间在三个主要主题上出现了差异：住房的中心地位、通过住房吸引消费者以及（限制……）住房权。具有讽刺意味的是，这项研究表明，在“治疗优先”计划中工作的提供者主要是为了追求住房，而“住房优先”提供者更关注临床问题，因为消费者已经拥有住房。显然，项目如何定位永久住房对于提供者如何理解他们的工作、他们遇到的压力以及他们如何优先考虑客户目标有着非常不同的影响。
Within the mental health system, there are two distinct service models for adults who have severe mental illness and are homeless: one prioritizes treatment before accessing permanent housing (Treatment First) while the other provides permanent housing upfront followed by clinical support (Housing First). Investigating front-line providers working within these two models affords an opportunity to learn more about their implementation from an insider perspective, thus shedding light on whether actual practice is consistent with or contrary to these program models’ contrasting philosophical values. Forty-one providers were recruited from four agencies as part of a NIMH funded qualitative study. Multiple, in-depth interviews lasting 30–45 min were conducted with providers that explored working within these agencies. Thematic analysis was utilized to compare the views of 20 providers working in Housing First versus the 21 providers working in Treatment First programs. Providers viewed housing as a priority but differences emerged between Treatment First and Housing First providers along three major themes: the centrality of housing, engaging consumers through housing, and (limits to…) a right to housing. Ironically, this study revealed that providers working within Treatment First programs were consumed with the pursuit of housing, whereas Housing First providers focused more on clinical concerns since consumers already had housing. Clearly, how programs position permanent housing has very different implications for how providers understand their work, the pressures they encounter, and how they prioritize client goals.
登录
查看更多内容
DOI：
10.1111/j.1468-0009.2009.00565.x
发表时间：
2009-06
期刊：
The Milbank quarterly
影响因子：
--
作者：
Kertesz SG;Crouch K;Milby JB;Cusimano RE;Schumacher JE
通讯作者：
Schumacher JE
影响因子：
3.8
作者：
Hopper, K;Barrow, SM
通讯作者：
Barrow, SM
影响因子：
16.4
作者：
DRAKE, RE;OSHER, FC;WALLACH, MA
通讯作者：
WALLACH, MA
影响因子：
2.7
作者：
Matejkowski, Jason;Draine, Jeffrey
通讯作者：
Draine, Jeffrey
影响因子：
3.8
作者：
Piat, Myra;Lesage, Alain;Bloom, David
通讯作者：
Bloom, David