Helfrich Christine A, Simpson Emily K, Chan Dara V
College of Health and Rehabilitations Sciences: Sargent College, Boston University, 635 Commonwealth Ave, Boston, MA, 02215, USA,
Community Ment Health J. 2014 Jul;50(5):531-7. doi: 10.1007/s10597-013-9647-x. Epub 2013 Aug 11.
This multiple case study illuminates the individual change trajectories of four homeless men with mental illnesses who participated in a manualized life skills intervention to improve housing retention. Readiness-to-change, life skills knowledge and trauma symptoms were measured at baseline, post-intervention and at 3-6 months follow-up. Cluster analysis identified two patterns of readiness-to-change: engaged and pre-engaged. Change is non-linear and baseline readiness is not necessary to benefit from the intervention. Examining individuals' lives in context illuminated the change process and demonstrated that varied patterns can lead to successful outcomes for housing stability and community reintegration.
这项多案例研究揭示了四名患有精神疾病的无家可归男子的个体变化轨迹，他们参与了一项为改善住房保留情况而进行的标准化生活技能干预。在基线、干预后以及3至6个月的随访中，对改变的准备程度、生活技能知识和创伤症状进行了测量。聚类分析确定了两种改变准备模式：参与型和预参与型。改变是非线性的，从干预中获益并不一定需要基线时的改变准备。结合个体生活背景进行考察揭示了改变过程，并表明不同模式可导向住房稳定和社区重新融入的成功结果。
