Housing first services for people who are homeless with co-occurring serious mental illness and substance abuse
Housing first services for people who are homeless with co-occurring serious mental illness and substance abuse
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DOI：
10.1177/1049731505282593
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发表时间：
2006-01-01
影响因子：
1.8
通讯作者：
Tsemberis, S
中科院分区：
文献类型：
--
作者：
Padgett, DK;Gulcur, L;Tsemberis, S
关于患有严重精神疾病的无家可归成年人的文献，通常没有提到围绕服务提供的一个关键问题-住房优先和治疗优先计划理念之间的对比。这项研究利用了一项纵向实验的数据，对225名48个月后在纽约市无家可归的患有精神疾病的成年人进行了住房优先计划(提供立即永久住房，而不要求治疗遵守或禁欲)和治疗优先(标准护理)计划的对比，结果显示，在酒精和药物使用方面没有显著的群体差异。首先接受治疗的参与者明显更有可能使用治疗服务。这些发现，与之前关于住房优先群体住房稳定率高得多的报告相结合，表明“双重诊断”的成年人可以在不增加物质使用的情况下保持稳定的住房。因此，住房优先计划有利于立即提供住房和消费者选择，值得考虑作为标准护理的可行替代方案。
The literature on homeless adults with severe mental illness is generally silent on a critical issue surrounding service delivery-the contrast between housing first and treatment first program philosophies. This study draws on data from a longitudinal experiment contrasting a housing first program (which offers immediate permanent housing without requiring treatment compliance or abstinence) and treatment first (standard care) programs for 225 adults who were homeless with mental illness in New York City After 48 months, results showed no significant group differences in alcohol and drug use. Treatment first participants were significantly more likely to use treatment services. These findings, in combination with previous reports of much higher rates of housing stability in the housing first group, show that "dual diagnosed" adults can remain stably housed without increasing their substance use. Thus, housing first programs favoring immediate housing and consumer choice deserve consideration as a viable alternative to standard care.