单站点住房先行策略对有严重酗酒问题的慢性 homelessness 个体的住房保留。
Housing retention in single-site housing first for chronically homeless individuals with severe alcohol problems.
机构信息
Susan E. Collins is with the Department of Psychiatry and Behavioral Sciences, University of Washington-Harborview Medical Center, Seattle. Daniel K. Malone is with the Downtown Emergency Services Center (DESC), Seattle. Seema L. Clifasefi is with the Center for the Study of Health and Risk Behaviors, University of Washington, Seattle.
出版信息
Am J Public Health. 2013 Dec;103 Suppl 2(Suppl 2):S269-74. doi: 10.2105/AJPH.2013.301312. Epub 2013 Oct 22.
OBJECTIVES
We studied housing retention and its predictors in the single-site Housing First model.
METHODS
Participants (n = 111) were chronically homeless people with severe alcohol problems who lived in a single-site Housing First program and participated in a larger nonrandomized controlled trial (2005-2008) conducted in Seattle, Washington. At baseline, participants responded to self-report questionnaires assessing demographic, illness burden, alcohol and other drug use, and psychiatric variables. Housing status was recorded over 2 years.
RESULTS
Participants were interested in housing, although a sizable minority did not believe they would be able to maintain abstinence-based housing. Only 23% of participants returned to homelessness during the 2-year follow-up. Commonly cited risk factors--alcohol and other drug use, illness burden, psychiatric symptoms, and homelessness history--did not predict resumed homelessness. Active drinkers were more likely to stay in this housing project than nondrinkers.
CONCLUSIONS
We found that single-site Housing First programming fills a gap in housing options for chronically homeless people with severe alcohol problems.
目的
我们研究了单一地点的“先住后付房租”模式下的住房保留率及其预测因素。
方法
参与者（n=111）为患有严重酒精问题且长期无家可归的人，他们居住在单一地点的“先住后付房租”项目中，并参与了 2005 年至 2008 年在华盛顿州西雅图市进行的一项更大规模的非随机对照试验。在基线时，参与者通过自我报告问卷回答了人口统计学、疾病负担、酒精和其他药物使用以及精神科变量。在两年期间记录了住房状况。
结果
参与者对住房感兴趣，尽管相当一部分人认为他们无法保持基于戒酒的住房。在 2 年的随访期间，只有 23%的参与者重新陷入无家可归状态。常见的风险因素——酒精和其他药物使用、疾病负担、精神科症状和无家可归史——并未预测重新无家可归。活跃饮酒者比不饮酒者更有可能留在这个住房项目中。
结论
我们发现，单一地点的“先住后付房租”项目为患有严重酒精问题且长期无家可归的人提供了住房选择的机会。
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