Policy Research Associates, Inc., 345 Delaware Ave., Delmar, NY 12054, USA.
Psychiatr Serv. 2009 Sep;60(9):1251-3. doi: 10.1176/ps.2009.60.9.1251.
This study of five housing programs across the United States examined whether the type of program-housing first or supportive housing-is related to an explicit requirement that residents adhere to mental health and substance abuse treatment, to residents' subjective perceptions that treatment adherence was being coerced, and to residents' housing satisfaction.
Interviews were conducted with 136 residents of housing programs at five sites.
Results showed that compared with residents in supportive housing programs, those in housing-first programs were significantly less likely to report that mental health treatment adherence was an explicit requirement of obtaining housing and less likely to report that mental health and substance abuse treatment was a requirement of retaining housing. There was no difference between the programs in residents' satisfaction with their housing.
Housing-first programs achieved a level of client satisfaction comparable to that of supportive housing programs while apparently staying consistent with their guiding "no coerced treatment" philosophy.
本研究对美国五个住房项目进行了研究，以检验住房项目的类型（住房优先型或支持性住房）是否与以下因素有关：居民是否需要遵守心理健康和药物滥用治疗的明确要求，居民主观上是否认为治疗是被迫的，以及居民对住房的满意度。
对五个地点的住房项目的 136 名居民进行了访谈。
结果表明，与支持性住房项目的居民相比，住房优先型项目的居民报告称心理健康治疗的遵守是获得住房的明确要求的可能性显著降低，报告称心理健康和药物滥用治疗是保留住房的要求的可能性也显著降低。两个项目的居民对住房的满意度没有差异。
住房优先型项目在实现客户满意度方面与支持性住房项目相当，同时似乎与它们的指导原则“不强制治疗”保持一致。
