CLIENT-FOCUSED HOUSING SUPPORT SERVICES FOR THE HOMELESS

拟议的研究示范项目将评估 提供全面的支持性服务， 为患有严重和长期精神疾病的无家可归者提供住房替代方案 人士该项目利用了由 地方住房当局之间的合作， 第8节凭证和证书，以及圣地亚哥县精神卫生 服务而不是通常的做法，侧重于准备无家可归者 精神病患者过渡性社区居住安排 在这种情况下，该项目将侧重于帮助个人 选择和收购一个实际的家在社区，是适合 他们的需求和偏好。重点将放在客户的选择上 在住房选择和支持服务方面。 主要的研究假设是无家可归的精神病患者中 综合和灵活的支助服务相结合 永久性住房将在六岁时产生更好的具体结果， 12个月的随访比比较条件。这些结果 包括：a）精神病理学严重程度; B） 住房; c）功能状况; d）改善生活质量和生活质量 满意度; e）改善身体健康状况; f）更有效 使用心理健康服务。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 结果比传统的病例管理的比较条件。的 设计也将使我们能够测试两者的叠加效应， 实验干预和互动效果。

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.