Intervention effects of supplying homeless individuals with permanent housing: a 3-year prospective study

Intervention effects of supplying homeless individuals with permanent housing: a 3-year prospective study
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DOI:
10.1111/j.1600-0447.2005.00715.x
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发表时间:
2006-01-01
影响因子:
6.7
通讯作者:
Quadflieg, N
Quadflieg, N
中科院分区:
医学1区
文献类型:
--
作者:
Fichter, MM;Quadflieg, N

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目的:描述为无家可归者提供永久住房的干预效果。方法:在一项前瞻性研究中,对 109 名男性和 20 名女性无家可归者进行了基线和 1 年和 3 年随访评估,内容包括精神疾病 (SCID-1)、精神病理学、总体功能评估、情绪不稳定性和饮酒量。结果:很大比例 (86%) 的人能够维持或改善住房稳定性。在精神疾病和整体功能方面只观察到微小的变化。大量饮酒和高度精神病增加了失去稳定住房的风险。结论:在社会咨询后将无家可归者安置在寄宿和护理院或社区住房似乎是纠正无家可归现象的必要措施。然而,提供更多的永久性住房并不足以决定性地改善心理健康状况。
Objective: To describe the intervention effects of supplying homeless individuals with permanent housing.Method: In a prospective study, 109 male and 20 female homeless individuals were assessed at baseline and at 1- and 3-year follow-up concerning mental illness (SCID-1), psychopathology, global assessment of functioning, emotional lability and alcohol consumption.Results: A high proportion (86%) of the individuals was able to maintain or improve stability of housing. Only minor changes were observed concerning mental illness and global functioning. Extensive alcohol consumption and high psychopathology increased the risk of losing the stable housing.Conclusion: The placement of homeless individuals in board and care homes or community housing after social counselling seems to be a necessary measure to remedy homelessness. However, supplying more permanent housing is not sufficient to decisively improve mental health status.