Risk Environments of Permanent Supportive Housing for Formerly Incarcerated People with Serious Mental Illnesses

患有严重精神疾病的前囚犯的永久支持性住房的风险环境

• 批准号: 10591857
• 负责人: Liat S. Kriegel
• 金额: $ 17.89万
• 依托单位: WASHINGTON STATE UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2022
• 资助国家: 美国
• 起止时间: 2022-09-19 至 2026-08-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10591857
• 关键词: Address; Area; Case Management; Client; Clinical; Cluster Analysis; Communities; Community Integration; Community Participation; Data; Development; Development Plans; Distress; Economic Policy; Employment; Environment; Environmental Risk Factor; Geography; Goals; Home; Homelessness; Housing; Imprisonment; Individual; Intervention; Interview; Jail; Legal; Legal system; Life; Maps; Medical; Mental Health; Mentored Research Scientist Development Award; Mentorship; Methods; Modeling; National Institute of Mental Health; Overdose; Participant; Personal Satisfaction; Persons; Pharmaceutical Preparations; Policies; Poverty; Prisons; Privatization; Provider; Recovery; Research; Research Methodology; Research Personnel; Resources; Risk; Role; Rural; Sampling; Service delivery model; Site; Social Interaction; Social isolation; Social support; Structure; Substance Use Disorder; Training; Training Activity; Work; base; career; career development; community based participatory research; design; experience; health disparity; high risk; improved; indexing; innovation; participatory mapping; peer; recidivism; resilience; satisfaction; self esteem; severe mental illness; social; social capital; substance use; supported housing; therapy development

ABSTRACT Formerly incarcerated people with serious mental illnesses (SMI) experience the criminal legal system unequally and have elevated rates of recidivism, homelessness, general medical problems, and substance use disorders. Permanent supportive housing (PSH) is a housing intervention often used during reentry, but it has limited resources for addressing community integration, a key component of reentry. PSH are often located in high-poverty environments with increased criminogenic risk. The geography of PSH also includes public spaces, which are associated with greater self-esteem, life satisfaction, a positive orientation toward recovery, independent employment, and access to tangible and social resources. The risk environment framework provides a structure for understanding the geography of PSH through its focus on the physical, social, economic, and policy influences on both the micro and macro environments. During reentry, individual, interpersonal, and environmental factors can interact with these environments to produce or reduce risk. If addressed, these factors can contribute to reentry wellbeing, through improved community participation and treatment engagement and reduced psychiatric distress and substance use, ultimately supporting more targeted interventions. The proposed study uses a rigorous nontraditional QUAL + QUAN (spatial) concurrent mixed-methods design to examine how individual, interpersonal, and environmental factors situated in the risk environments of PSH interact with public and private spaces to inform reentry wellbeing. Eighty multi-method interviews (i.e., qualitative, quantitative, and participatory mapping methods) that look at individual, interpersonal, and environmental reentry factors will be conducted with formerly incarcerated clients with SMI. Data collected will be triangulated with go-along interviews with up to 20 of the participants. Participatory mapping will then be geocoded and sites identified as places of importance, frequent participation, and belonging will be evaluated in relation to objective features of spaces like resource and treatment availability or accessibility using GIS methods in order to develop a community resilience index model. A cluster analysis will additionally be conducted to identify and map areas of increased and decreased drug overdose and arrest and overlaid with the community resilience index model to examine the relationship between community resilience and the risk environments. I will then partner with a community advisory board of 2 providers and 6 formerly incarcerated PSH residents to integrate the findings for the purpose of co-designing a targeted multilevel intervention aimed at improving reentry wellbeing through public space engagement. My proposed research plan integrates activities, formal training, and mentorship from experts (Drs. Michael McDonell, Benjamin Henwood, Ofer Amram, Chyrell Bellamy, Susan Collins, and Mark Salzer) in supportive housing, the risk environment framework, spatial analysis, intervention development, community-based participatory research, and the mental health and criminal legal systems. The Mentored Research Scientist Development Award (K01) will build on my previous training and research to allow me to pursue my long-term career goal to become an independent investigator focused on the use and interaction of public and private spaces in supporting reentry from prisons and jails for people with SMI.

抽象的 患有严重精神疾病 (SMI) 的前入狱人员体验刑事法律制度 不平等，累犯率、无家可归率、一般医疗问题和药物滥用率升高 失调。永久支持性住房（PSH）是重返社会期间经常使用的住房干预措施，但它 用于解决社区融合问题的资源有限，而社区融合是重返社会的一个关键组成部分。 PSH 通常位于 犯罪风险增加的高度贫困环境。 PSH 的地理范围还包括公共空间、 这与更高的自尊、生活满意度、积极的康复方向相关， 独立就业以及获得有形资源和社会资源。风险环境框架 通过关注自然、社会、经济、 政策对微观和宏观环境的影响。在重返大气层期间，个人、人际和 环境因素可以与这些环境相互作用以产生或降低风险。如果解决这些因素 可以通过改善社区参与和治疗参与来促进重返福祉 减少精神痛苦和药物使用，最终支持更有针对性的干预措施。 拟议的研究采用严格的非传统 QUAL + QUAN（空间）并发混合方法设计 检查个人、人际和环境因素如何处于 PSH 风险环境中 与公共和私人空间互动，以告知重返健康状况。八十次多种方法访谈（即 定性、定量和参与式绘图方法），着眼于个人、人际和 环境重返因素将对以前被 SMI 监禁的客户进行。收集的数据将 通过与最多 20 名参与者的同步访谈进行三角测量。参与式绘图将是 地理编码和被确定为重要地点、频繁参与和归属感的地点将在 使用 GIS 方法与空间的客观特征（如资源和处理可用性或可达性）相关 建立社区复原力指数模型。此外，还将进行聚类分析 确定并绘制吸毒过量和逮捕增加和减少的区域，并与社区覆盖 复原力指数模型，用于检验社区复原力与风险环境之间的关系。我 然后将与由 2 家提供者和 6 名前被监禁的 PSH 居民组成的社区咨询委员会合作， 整合研究结果，共同设计有针对性的多层次干预措施，旨在改善 通过公共空间参与重新获得福祉。我提出的研究计划整合了活动、正式的 培训和专家指导（Michael McDonell 博士、Benjamin Henwood、Ofer Amram、Chyrell 贝拉米（Bellamy）、苏珊·柯林斯（Susan Collins）和马克·萨尔泽（Mark Salzer）在支持性住房、风险环境框架、空间 分析、干预措施开发、基于社区的参与性研究以及心理健康和犯罪 法律制度。指导研究科学家发展奖（K01）将建立在我之前的培训基础上 和研究让我能够追求我的长期职业目标，成为一名独立调查员 关于公共和私人空间的使用和互动以支持人们从监狱和看守所重新进入 与 SMI 一起。