Robbins Pamela Clark, Petrila John, LeMelle Stephanie, Monahan John
Policy Research Associates, Inc., 345 Delaware Avenue, Delmar, NY 12054, USA.
Adm Policy Ment Health. 2006 Mar;33(2):226-36. doi: 10.1007/s10488-006-0037-3. Epub 2006 Mar 7.
For people with mental disorder, access to subsidized housing may be used as "leverage" to obtain adherence to treatment. Interview data from 200 outpatients at each of five sites provided the first national description of the use of housing as leverage. Results indicated that housing is most likely to be used as leverage when it is "special" housing, available only to people with mental illness. Most frequently, respondents state that the requirement that they participate in treatment is imposed by their landlord, rather than by a clinician. The use of housing as leverage strongly increases respondents' perceptions of coercion. Despite this, however, participants who experience housing as leverage are no less satisfied than other participants with the treatment that they receive, and are much more likely than other participants to believe that using housing as leverage is effective in helping people stay well.
对于患有精神障碍的人来说，获得保障性住房可能被用作促使他们坚持治疗的“手段”。来自五个地点各200名门诊患者的访谈数据首次对将住房用作手段的情况进行了全国性描述。结果表明，当住房是仅提供给患有精神疾病者的“特殊”住房时，最有可能被用作手段。最常见的情况是，受访者表示要求他们参与治疗的是房东，而非临床医生。将住房用作手段极大地增强了受访者的被强迫感。然而，尽管如此，将住房用作手段的参与者对所接受治疗的满意度并不低于其他参与者，而且比其他参与者更有可能认为将住房用作手段有助于人们保持健康。
