McHugo Gregory J, Bebout Richard R, Harris Maxine, Cleghorn Stephen, Herring Gloria, Xie Haiyi, Becker Deborah, Drake Robert E
Department of Community and Family Medicine, New Hampshire-Dartmouth Psychiatric Research Center, Dartmouth Medical School, Hanover, NH, USA.
Schizophr Bull. 2004;30(4):969-82. doi: 10.1093/oxfordjournals.schbul.a007146.
This study compared two contemporary approaches to linking housing and mental health services. In the integrated housing program, case management and housing services were provided by teams within a single agency and were closely coordinated. In the parallel housing condition, case management services were provided by mobile assertive community treatment teams and housing by routine community-based landlords. Adults with severe mental illness who were at high risk for homelessness (n = 121; 72.7% schizophrenia spectrum) were assigned randomly to integrated or parallel housing services and followed for 18 months. Integrated housing services led to more days of stable housing and greater life satisfaction than parallel housing services, especially for male participants. Integrated housing services were also associated with greater reductions in psychiatric symptoms. Closer integration between clinical and housing services, and greater use of supervised living settings, led to more time in stable housing for participants in the integrated housing services condition and was associated with greater gains in several outcome domains.
本研究比较了将住房与心理健康服务相联系的两种当代方法。在综合住房项目中，个案管理和住房服务由一个单一机构内的团队提供，并紧密协调。在平行住房条件下，个案管理服务由流动激进社区治疗团队提供，住房则由常规社区房东提供。将有严重精神疾病且面临无家可归高风险的成年人（n = 121；72.7%为精神分裂症谱系）随机分配到综合或平行住房服务中，并随访18个月。与平行住房服务相比，综合住房服务带来了更多天数的稳定住房和更高的生活满意度，尤其是对男性参与者而言。综合住房服务还与精神症状的更大程度减轻相关。临床与住房服务之间更紧密的整合，以及对受监督生活环境的更多利用，使得综合住房服务条件下的参与者有更多时间居住在稳定住房中，并且在几个结果领域有更大收获。
