Desilva Malini B, Manworren Julie, Targonski Paul
University of Minnesota, Minneapolis, MN, USA.
J Prim Care Community Health. 2011 Jan 1;2(1):16-20. doi: 10.1177/2150131910385248.
The authors examined the impact of a Housing First program on the use of specific health services, detoxification services, and criminal activity of long-term homeless individuals. The study sample consisted of eligible members of the inception cohort (18 enrollees) in the Single Adults Residential Assistance program (SARA) in Minneapolis, Minnesota. Analyses examined participant housing stability after enrollment in SARA and compared the use of a county medical center, detoxification programs, and criminal activity in the 2 years before and after enrollment in SARA. Only 1 of the 18 enrollees studied experienced homelessness during the 2-year follow-up after enrollment in SARA. There was a significant reduction in the amount of criminal activity in the 2-year period after SARA enrollment. The direction of association observed for other service uses remained consistent with expectations in existing literature, but were not statistically significant. Supportive housing for chronically homeless individuals may be successful at decreasing homelessness among this fragile population and may help reduce criminal activity.
作者研究了“住房优先”项目对长期无家可归者使用特定医疗服务、戒毒服务以及犯罪活动的影响。研究样本包括明尼苏达州明尼阿波利斯市单身成年人居住援助项目（SARA）初始队列中的合格成员（18名参与者）。分析考察了参与者加入SARA项目后的住房稳定性，并比较了加入SARA项目前后两年内使用县医疗中心、戒毒项目的情况以及犯罪活动。在加入SARA项目后的两年随访期内，所研究的18名参与者中只有1人经历了无家可归的情况。加入SARA项目后的两年内，犯罪活动量显著减少。观察到的其他服务使用方面的关联方向与现有文献中的预期一致，但无统计学意义。为长期无家可归者提供支持性住房可能成功减少这一脆弱人群中的无家可归现象，并可能有助于减少犯罪活动。
