O'Connell Maria J, Kasprow Wesley, Rosenheck Robert A
Department Of Psychiatry, Yale University School of Medicine, New Haven, CT 06513, USA.
Psychiatr Serv. 2008 Mar;59(3):268-75. doi: 10.1176/ps.2008.59.3.268.
Research suggests that subsidized housing combined with mental health services may be an effective intervention for successfully placing individuals who have a mental illness and a history of homelessness into community housing. However, there is limited longitudinal information available about the risk of loss of housing after a successful exit from homelessness.
The study presented here examined the risk and predictors of returning to homelessness after successful housing in a sample of 392 formerly homeless veterans involved in an experimental trial of case management plus rent subsidy vouchers, case management only, or standard care.
Over the course of a five-year period, 44% of all participants experienced a period of homelessness for at least one day after successful placement into housing. Cox regression analysis found that participants in the case management plus voucher condition had significantly longer periods of continuous housing, compared with participants in the other two groups. Other predictors of decreased housing tenure were drug use and a diagnosis of posttraumatic stress disorder.
Subsidized housing vouchers, combined with intensive case management, are advantageous both for facilitating the initial transition from homelessness to being housed and for reducing the risk of discontinuous housing, even among individuals with more severe substance abuse problems.
研究表明，补贴住房与心理健康服务相结合可能是一种有效的干预措施，有助于成功地将患有精神疾病且有过无家可归经历的人安置到社区住房中。然而，关于成功摆脱无家可归状态后失去住房风险的纵向信息有限。
本研究调查了392名曾无家可归的退伍军人样本在成功入住住房后重返无家可归状态的风险及预测因素，这些退伍军人参与了一项关于个案管理加租金补贴券、仅个案管理或标准护理的实验性试验。
在五年期间，所有参与者中有44%在成功入住住房后经历了至少一天的无家可归期。Cox回归分析发现，与其他两组参与者相比，接受个案管理加补贴券干预的参与者连续住房时间显著更长。住房保有期缩短的其他预测因素包括吸毒和创伤后应激障碍诊断。
补贴住房券与强化个案管理相结合，不仅有利于促进从无家可归到有房居住的初步过渡，还能降低住房不稳定的风险，即使是在有更严重药物滥用问题的个体中也是如此。
