减少精神疾病患者中的无家可归现象：五项随机治疗试验的比较
Lessening Homelessness Among Persons with Mental Illness: A Comparison of Five Randomized Treatment Trials.
作者信息
Schutt Russell K, Hough Richard L, Goldfinger Stephen M, Lehman Anthony F, Shern David L, Valencia Elie, Wood Patricia A
机构信息
University of Massachusetts Boston and Harvard Medical School. Department of Psychiatry, Harvard Medical School, 401 Park Dr., Landmark Center 2E, Boston MA 02215.
出版信息
Asian J Psychiatr. 2009 Oct 1;2(3):100-102. doi: 10.1016/j.ajp.2009.07.003.
We evaluate the influence of housing, services, and individual characteristics on housing loss among formerly homeless mentally ill persons who participated in a five-site (4-city) study in the U.S. Housing and service availability were manipulated within randomized experimental designs and substance abuse and other covariates were measured with a common protocol. Findings indicate that housing availability was the primary predictor of subsequent ability to avoid homelessness, while enhanced services reduced the risk of homelessness if housing was also available. Substance abuse increased the risk of housing loss in some conditions in some projects, but specific findings differed between projects and with respect to time spent in shelters and on the streets. We identify implications for research on homeless persons with mental illness that spans different national and local contexts and involves diverse ethnic groups.
我们评估了住房、服务及个人特征对曾无家可归的精神病患者住房丧失情况的影响，这些患者参与了美国一项涉及五个地点（4个城市）的研究。在随机实验设计中对住房和服务的可获得性进行了操控，并通过通用方案测量药物滥用及其他协变量。研究结果表明，住房可获得性是随后避免无家可归能力的主要预测因素，而如果住房也可获得，强化服务则会降低无家可归的风险。在某些项目的某些情况下，药物滥用增加了住房丧失的风险，但不同项目之间以及在收容所和街头度过的时间方面的具体研究结果存在差异。我们确定了对患有精神疾病的无家可归者研究的启示，该研究跨越不同的国家和地方背景，并涉及不同种族群体。
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