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无家可归的母亲与抑郁症:错误导向的政策。

Homeless mothers and depression: misdirected policy.

作者信息

Bogard C J, McConnell J J, Gerstel N, Schwartz M

机构信息

Department of Sociology and Anthropology, Hofstra University, Hempstead, NY 11549, USA.

出版信息

J Health Soc Behav. 1999 Mar;40(1):46-62.

Abstract

This paper is a critique of recent service-intensive shelter programs for homeless mothers and the policies that underlie these shelters. We first document the process by which mental health problems and family homelessness became so closely but mistakenly linked. We then demonstrate empirically that shelter programs for homeless families nonetheless presume that mental health problems are part of the causal nexus of family homelessness and indiscriminately deliver mental health services to homeless mothers. Simultaneously, shelter programs encourage the isolation of their residents from what they presume to be their "problematic" social networks. We show that, while mental health services had little impact on depression levels among homeless mothers, isolation from social networks did increase depression among homeless mothers. Our findings suggest that policy should put more emphasis on rapid reintegration into the community through providing housing, and it should put less emphasis on providing services.

摘要

本文是对近期针对无家可归母亲的服务密集型庇护项目以及这些庇护所背后政策的批判。我们首先记录了心理健康问题与家庭无家可归状况如何紧密却错误地联系在一起的过程。然后我们通过实证表明,针对无家可归家庭的庇护项目仍然假定心理健康问题是家庭无家可归因果关系的一部分,并不加区分地为无家可归母亲提供心理健康服务。同时,庇护项目鼓励其居民与他们认为“有问题”的社交网络隔离。我们表明,虽然心理健康服务对无家可归母亲的抑郁水平影响甚微,但与社交网络隔离确实增加了无家可归母亲的抑郁情绪。我们的研究结果表明,政策应更加强调通过提供住房来迅速重新融入社区,而应减少对提供服务的重视。

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