PATHS OUT OF HOMELESSNESS AMONG THE MENTALLY ILL

精神病患者摆脱无家可归的途径

• 批准号: 3385995
• 负责人: PAUL A TORO
• 金额: $ 32.53万
• 依托单位: STATE UNIVERSITY OF NEW YORK AT BUFFALO
• 依托单位国家: 美国
• 财政年份: 1991
• 资助国家: 美国
• 起止时间: 1991-09-30 至 1994-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/3385995
• 关键词: family; family structure /dynamics; homeless; housing; human population study; interpersonal relations; interview; longitudinal human study; major depression; mental disorder diagnosis; mental disorders; mental health facility; psychological tests; psychosis; psychosocial rehabilitation; psychosocial service; rehabilitation; social behavior; social service; social service evaluation; social support network; socioeconomics; substance abuse related disorder; violence

The proposed longitudinal research project, in the context of an ecological/resource framework, attempts to understand the conditions under which the severely mentally ill and other homeless persons are able to secure and maintain stable housing (vs. remain homeless). Probability sampling methods will be used to obtain a representative sample of homeless adults in the Buffalo metropolitan area. A broad range of sites will be sampled, including psychiatric facilities, special programs for the homeless, food pantries, and the streets, in addition to the shelters and soup kitchens commonly included in past research on the homeless. Based on our framework, data will be collected in three domains: Personal Attributes, including psychiatric diagnoses and background characteristics; Resources, in personal, social, economic, and service areas; and Outcomes, including detailed information on the course of homelessness and on subsequent housing characteristics. The data will be obtained from four sources: the homeless participant; two significant others, including at least one family member; interviewer ratings; and agency records. The study is especially distinctive among existing studies on the homeless in considering a wide range of social resources, including social support, family social climate, and family violence as predictors of exiting homelessness and subsequent housing stability. The study also includes a longer follow-up period than has so far been attempted (five interviews over two years) and would allow a longitudinal comparison of a variety of important subgroups among the homeless, such as the severely mentally ill (defined based on DSM-III-R criteria for schizophrenia or major affective disorder), substance abusers (also defined based on DSM-III-R criteria), and homeless women (including those with children). The two principal research goals are to: (1) Determine factors associated with obtaining stable housing; and (2) Identify causal mechanisms involved in exiting homelessness. In addition, the study will: (a) provide information on the possible effectiveness of a full range of services currently used by the homeless and whether certain combinations of services may be particularly helpful; (b) compare the utility of several commonly used methods for assessing the mental health status of the homeless; and (c) develop new measures needed for the study of homelessness (e.g., to assess characteristics of homelessness and subsequent housing quality). Through extensive preliminary research, procedures have been refined to ensure a low attrition rate among the homeless sample in this longitudinal research.

拟议的纵向研究项目， 生态/资源框架，试图了解条件 严重精神病患者和其他无家可归的人可以 确保和维持稳定的住房（与无家可归相比）。 概率 将使用抽样方法获得具有代表性的样本， 布法罗大都会区无家可归的成年人 广泛的网站 将被抽样，包括精神病设施，特别计划， 无家可归的人，食品储藏室，街道，除了收容所， 和施粥所的数据，这些数据在过去对无家可归者的研究中普遍存在。 根据我们的框架，数据将在三个领域收集： 属性，包括精神病诊断和背景 特征;个人、社会、经济和服务方面的资源 成果，包括关于 无家可归和随后的住房特点。 数据将 从四个来源获得：无家可归的参与者;两个重要的 其他，包括至少一名家庭成员;面试官评分;以及 机构记录。 这项研究在现有的 关于无家可归者的研究考虑到广泛的社会资源， 包括社会支持、家庭社会氛围和家庭暴力， 预测退出无家可归和随后的住房稳定性。 的 这项研究还包括比迄今为止更长的随访期。 尝试（两年五次面试），并将允许纵向 比较无家可归者中的各种重要亚群，如 严重精神病患者（根据DSM-III-R标准定义， 精神分裂症或严重情感障碍）、物质滥用者（也 根据DSM-III-R标准定义）和无家可归的妇女（包括 与孩子们）。 本研究的两个主要目的是：（1）确定 与获得稳定住房相关的因素;（2）确定因果关系 解决无家可归问题的机制。 此外，研究 将：（a）提供资料，说明全面执行《公约》可能产生的效力; 无家可归者目前使用的服务范围，以及 服务的组合可能特别有用;（B）比较 几种常用的心理健康评估方法的实用性 无家可归者的状况;（c）制定研究所需的新措施 无家可归（例如，评估无家可归者的特点， 住房质量）。 通过广泛的前期研究， 已改进程序，以确保 在这个纵向研究中无家可归的样本。