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本文引用的文献

1
Consumer preference programs for individuals who are homeless and have psychiatric disabilities: a drop-in center and a supported housing program.针对无家可归且患有精神疾病的个人的消费者偏好项目：一个日间服务中心和一个支持性住房项目。
Am J Community Psychol. 2003 Dec;32(3-4):305-17. doi: 10.1023/b:ajcp.0000004750.66957.bf.
2
Developing standards of care for individuals with co-occurring psychiatric and substance use disorders.制定针对同时患有精神疾病和物质使用障碍的个体的护理标准。
Psychiatr Serv. 2001 May;52(5):597-9. doi: 10.1176/appi.ps.52.5.597.
3
Pathways to homelessness among the mentally ill.精神病患者中导致无家可归的途径。
Soc Psychiatry Psychiatr Epidemiol. 2000 Oct;35(10):444-50. doi: 10.1007/s001270050262.
4
Serving street-dwelling individuals with psychiatric disabilities: outcomes of a psychiatric rehabilitation clinical trial.为患有精神疾病的街头流浪者提供服务：一项精神康复临床试验的结果
Am J Public Health. 2000 Dec;90(12):1873-8. doi: 10.2105/ajph.90.12.1873.
5
Tenure in supportive housing for homeless persons with severe mental illness.为患有严重精神疾病的无家可归者提供支持性住房的使用期限。
Psychiatr Serv. 2000 Apr;51(4):479-86. doi: 10.1176/appi.ps.51.4.479.
6
Applying cluster analysis to test a typology of homelessness by pattern of shelter utilization: results from the analysis of administrative data.应用聚类分析通过庇护所使用模式来检验无家可归类型：行政数据分析结果
Am J Community Psychol. 1998 Apr;26(2):207-32. doi: 10.1023/a:1022176402357.
7
Program fidelity in assertive community treatment: development and use of a measure.积极社区治疗中的项目保真度：一种测量方法的开发与应用
Am J Orthopsychiatry. 1998 Apr;68(2):216-32. doi: 10.1037/h0080331.
8
Assertive community treatment for patients with co-occurring severe mental illness and substance use disorder: a clinical trial.针对同时患有严重精神疾病和物质使用障碍患者的积极社区治疗：一项临床试验。
Am J Orthopsychiatry. 1998 Apr;68(2):201-15. doi: 10.1037/h0080330.
9
Substance abuse and homelessness: social selection or social adaptation?药物滥用与无家可归：社会选择还是社会适应？
Addiction. 1997 Apr;92(4):437-45.
10
Homelessness, severe mental illness, and the institutional circuit.无家可归、严重精神疾病与机构循环。
Psychiatr Serv. 1997 May;48(5):659-65. doi: 10.1176/ps.48.5.659.

“住房第一”、消费者选择以及对患有双重诊断的无家可归者的伤害减少。

Housing First, consumer choice, and harm reduction for homeless individuals with a dual diagnosis.

作者信息

Tsemberis Sam, Gulcur Leyla, Nakae Maria

机构信息

Pathways to Housing, Inc, New York, NY 10027, USA.

出版信息

Am J Public Health. 2004 Apr;94(4):651-6. doi: 10.2105/ajph.94.4.651.

DOI:10.2105/ajph.94.4.651
PMID:15054020
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1448313/
Abstract

OBJECTIVES

We examined the longitudinal effects of a Housing First program for homeless, mentally ill individuals' on those individuals' consumer choice, housing stability, substance use, treatment utilization, and psychiatric symptoms.

METHODS

Two hundred twenty-five participants were randomly assigned to receive housing contingent on treatment and sobriety (control) or to receive immediate housing without treatment prerequisites (experimental). Interviews were conducted every 6 months for 24 months.

RESULTS

The experimental group obtained housing earlier, remained stably housed, and reported higher perceived choice. Utilization of substance abuse treatment was significantly higher for the control group, but no differences were found in substance use or psychiatric symptoms.

CONCLUSIONS

Participants in the Housing First program were able to obtain and maintain independent housing without compromising psychiatric or substance abuse symptoms.

摘要

目的

我们研究了“先提供住房”项目对无家可归的精神病患者在消费者选择、住房稳定性、物质使用、治疗利用和精神症状方面的纵向影响。

方法

225名参与者被随机分配，一组接受基于治疗和戒酒的住房安排（对照组），另一组接受无需治疗前提条件的即时住房安排（实验组）。在24个月内每6个月进行一次访谈。

结果

实验组更早获得住房，住房保持稳定，且报告的感知选择更高。对照组对药物滥用治疗的利用率显著更高，但在物质使用或精神症状方面未发现差异。

结论

“先提供住房”项目的参与者能够获得并维持独立住房，而不会加重精神症状或物质滥用症状。