CLIENT-FOCUSED HOUSING SUPPORT SERVICES FOR THE HOMELESS

建议的研究示范项目将评估其效果。 提供与独立机构相协调的全面支持服务 为患有严重和长期精神疾病的无家可归者提供住房选择 人。该项目充分利用了 当地住房当局之间的合作，他们正在提供 第8节凭证和证书与圣地亚哥县精神健康 服务。而不是通常侧重于为无家可归者做好准备的方法 通过过渡性生活实现社区居住的智者 情况下，这个项目将集中在帮助个人在 选择和购买社区中适合的实际住房 满足他们的需求和喜好。重点将放在客户选择上 在住房选择和支助服务方面都是如此。 主要的研究假设是，在无家可归的精神病患者中 人，全面和灵活的支持服务相结合 拥有永久住房将产生更好的具体结果，在六和 随访12个月，比较两组的情况。这些结果 包括：a)精神病理学的严重程度；b)增加稳定性 住房；c)功能状况；d)改善生活质量和生活 满意度；e)改善身体健康状况；f)更有效 精神卫生服务的使用。更具体地说，研究人员假设 全面的支持服务和住房将各自产生更好的效果 结果超过了传统病例管理的对比条件。这个 设计还将允许我们测试两者的相加效果 实验干预以及互动效果。

The proposed research demonstration project will evaluate the effectiveness of providing comprehensive supportive services coordinated with independent housing alternatives for severely and persistently mentally ill homeless persons. This project capitalizes on unique opportunity presented by the collaboration between the local housing authorities, who are providing Section 8 vouchers and certificates, and San Diego County Mental Health Services. Instead of the usual approach which focuses on preparing homeless mentally persons for community residence through transitional living situations, this project will focus on assisting individuals in the selection and acquisition of an actual home in the community that is suited to their needs and preferences. An emphasis will be placed on client choice in both the selection of housing options and supportive services. The primary research hypothesis is that among homeless mentally ill persons, the combination of comprehensive and flexible supportive services with permanent housing will produce better specified outcomes at six and twelve month follow-up than the comparison conditions. These outcomes include: a) level of severity of psychopathology; b)increased stability of housing; c) functional status; d) improved quality of life and life satisfaction; e) improved physical health condition; and f) more effective use of mental health services. More specifically, researchers hypothesize that comprehensive support services and housing will each produce better outcomes than the comparison condition of traditional case management. The design will also allow us to test the additive effects of the two experimental interventions and for interactive effects as well.