Consumer preference programs for individuals who are homeless and have psychiatric disabilities: A drop-in center and a supported housing program
Consumer preference programs for individuals who are homeless and have psychiatric disabilities: A drop-in center and a supported housing program
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DOI：
10.1023/b:ajcp.0000004750.66957.bf
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发表时间：
2003-12-01
影响因子：
3.1
通讯作者：
Shern, DL
中科院分区：
文献类型：
--
作者：
Tsemberis, SJ;Moran, L;Shern, DL
我们通过两项旨在减少 168 名和 225 名患有精神疾病和经常滥用药物的人无家可归的项目的实验研究来说明 Fairweather 的实验性社会创新和传播方法。实际上，无家可归的参与者被随机分配到强调消费者选择的项目或通常的连续护理中，其中住房和服务取决于清醒和治疗进展。消除获得服务障碍的临时中心在减少无家可归方面比控制计划更成功，但 24 个月后，只有 38% 的参与者搬进了社区住房。随后的公寓计划中，实验条件下的个人直接从街道搬到补贴公寓，并由他们控制服务，6 个月结束时，79% 的人拥有稳定的住房（对照组为 27%）。这项研究中的各组在药物滥用或心理社会结果方面没有差异。
We illustrate Fairweather's approach to Experimental Social Innovation and Dissemination with two experimental studies of programs to reduce homelessness for 168 and 225 people with mental illness and often substance abuse. Literally homeless participants were randomly assigned to programs that emphasized consumer choice or to the usual continuum of care, in which housing and services are contingent on sobriety and progress in treatment. A drop-in center that eliminated barriers to access to services was more successful than control programs in reducing homelessness, but after 24 months only 38% of participants had moved to community housing. A subsequent apartment program, in which individuals in the experimental condition moved to subsidized apartments directly from the street, with services under their control, had 79% in stable housing ( compared to 27% in the control group) at the end of 6 months. Groups in this study did not differ on substance abuse or psychosocial outcomes.