Gulcur Leyla, Tsemberis Sam, Stefancic Ana, Greenwood Ronni M
New York University, New York, USA.
Community Ment Health J. 2007 Jun;43(3):211-28. doi: 10.1007/s10597-006-9073-4. Epub 2007 Mar 31.
This study tests components of Wong and Solomon's (2002, Mental Health Services Research, 4(2), 13-28) model of community integration, identifying both the dimensions and predictors of integration. It evaluates community integration among adults with psychiatric disabilities assigned randomly to receive either independent scatter-site apartments with the Housing First approach (experimental) or services as usual (control). Factor analysis supported a definition of community integration that includes psychological, physical, and social domains, but also suggested the existence of another factor, independence/self-actualization. Regression analysis suggested that choice and independent scatter-site housing were predictors of psychological and social integration respectively. Psychiatric hospitalization, symptomatology and participation in substance use treatment were also found to influence aspects of integration. We discuss several issues that future studies should explore including the possibility that the same factor can differentially influence discrete aspects of integration, the role of person-environment fit, integration that is not based in the neighborhood, and, finally, conceptions of community integration from the perspective of consumers themselves.
本研究检验了Wong和Solomon（2002年，《心理健康服务研究》，第4卷第2期，第13 - 28页）的社区融合模型的各个组成部分，确定了融合的维度和预测因素。它评估了被随机分配接受“住房优先”方法的独立分散式公寓（实验性）或常规服务（对照）的成年精神疾病患者的社区融合情况。因子分析支持了一个包括心理、身体和社会领域的社区融合定义，但也表明存在另一个因素，即独立性/自我实现。回归分析表明，选择和独立分散式住房分别是心理融合和社会融合的预测因素。还发现精神科住院治疗、症状学以及参与药物使用治疗会影响融合的各个方面。我们讨论了未来研究应探索的几个问题，包括同一因素可能对融合的不同方面产生不同影响的可能性、人与环境匹配的作用、非基于邻里关系的融合，以及最后从消费者自身角度对社区融合的概念理解。
