精神疾病患者中无家可归的风险因素。
Risks factors for homelessness among people with psychotic disorders.
作者信息
Odell S M, Commander M J
机构信息
Department of Psychiatry and Behavioural Sciences, University of Leeds, UK.
出版信息
Soc Psychiatry Psychiatr Epidemiol. 2000 Sep;35(9):396-401. doi: 10.1007/s001270050256.
BACKGROUND
Although it is widely accepted that rates of severe mental illness amongst single homeless people are high, little is known about the reasons these individuals become homeless. This study aimed to identify risk factors for homelessness among people with psychotic disorders.
METHODS
A matched case-control study of homeless and never homeless people with psychotic disorders was carried out, with respondents recruited from mental health services (N = 39 pairs). Data were collected by semi-structured interviews and from medical records.
RESULTS
A number of social and behavioural risk factors were identified; key factors being loss of contact with childhood carers, and substance use. Clinical and service use factors appeared less important as predictors of homelessness.
CONCLUSIONS
Mental health services have a limited role in circumventing homelessness among people with psychotic disorders. An integrated approach involving other key agencies is required.
背景
尽管人们普遍认为单身无家可归者中严重精神疾病的发病率很高，但对于这些人无家可归的原因却知之甚少。本研究旨在确定精神病患者无家可归的风险因素。
方法
对患有精神病的无家可归者和从未无家可归者进行了匹配病例对照研究，受访者来自心理健康服务机构（N = 39对）。通过半结构化访谈和医疗记录收集数据。
结果
确定了一些社会和行为风险因素；关键因素是与童年照顾者失去联系和物质使用。临床和服务使用因素作为无家可归的预测因素似乎不太重要。
结论
心理健康服务在避免精神病患者无家可归方面的作用有限。需要一种涉及其他关键机构的综合方法。
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